MEDICARE: SABRINA J GRIJALVA LCSW

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	130109	CA
2	390200000X	Student in an Organized Health Care Education/Training Program
3	104100000X	Social Worker	107266	CA

General Provider Information

NPI Number	:	1336819994
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SABRINA J GRIJALVA LCSW

Provider Business Mailing Address
First Line	:	2331 ALHAMBRA BLVD
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95817-1108
Country	:	US
Telephone Number	:	408-854-2147
Fax Number	:

Provider Business Practice Location Address
First Line	:	6500 WILSHIRE BLVD FL 19
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-4920
Country	:	US
Telephone Number	:	805-764-9651
Fax Number	:	323-866-8800

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

Provider Enumeration Date	:	09/15/2021
Last Update Date	:	01/07/2026

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