MEDICARE: MS. KATRINA PIMENTAL ASW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	126339	CA

General Provider Information

NPI Number	:	1639528953
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KATRINA PIMENTAL ASW

Provider Business Mailing Address
First Line	:	3990 OLD TOWN AVE STE 201C
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92110-2933
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3990 OLD TOWN AVE STE 201C
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92110-2933
Country	:	US
Telephone Number	:	619-278-2400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2016
Last Update Date	:	01/02/2025

Similar Medicare Providers

1396740213 — DR. LINDA A. OLIVER AU.D.
Practice Location Address:

3990 OLD TOWN AVE STE C207
SAN DIEGO, CA
92110-2933

Practice Phone: 619-297-3131
Practice Fax: 619-297-0595

1598936643 — SURVIVORS OF TORTURE, INTERNATIONAL
Practice Location Address:

3990 OLD TOWN AVE STE C201
SAN DIEGO, CA
92110-2933

Practice Phone: 619-278-2400
Practice Fax: 619-294-9429

1306297478 — SHANNON WILLS
Practice Location Address:

3990 OLD TOWN AVE STE C201
SAN DIEGO, CA
92110-2933

Practice Phone: 619-278-2400
Practice Fax:

1750058038 — ALLISON METCALF MSW, ACSW
Practice Location Address:

3990 OLD TOWN AVE STE 201C
SAN DIEGO, CA
92110-2933

Practice Phone: 619-278-2410
Practice Fax:

1225808140 — ANNY THUC NGUYEN
Practice Location Address:

3990 OLD TOWN AVE STE C201
SAN DIEGO, CA
92110-2933

Practice Phone: 619-278-2400
Practice Fax:

1437937455 — ANNA KATE CHAFFEE MS SLP-CCC
Practice Location Address:

4343 SHIELDS ST
SAN DIEGO, CA
92124-2933

Practice Phone: 858-221-5200
Practice Fax:

Directions to “ MS. KATRINA PIMENTAL ASW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.