Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1851069041 Deactivated / Inactive NPI Female Practitioner

Shima Daftarian

Social Worker • Norwalk, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Shima Daftarian has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 01, 2021
NPI Deactivation Date September 27, 2022
Total Practice Duration ~1 Years of Practice (2021 – 2022)

Professional Overview & Biography Verified Profile Summary

Shima Daftarian was a registered Social Worker practicing in Norwalk, CA. Throughout an active medical career spanning 1 years, Shima Daftarian provided care at the practice location at 11401 BLOOMFIELD AVE until profile deactivation on 2022-09-27.

Practice Location & Contact Primary Location

Practice Address

11401 Bloomfield Ave

Norwalk, CA 906502015

Telephone 5628637011
Associated Practice Facility / Clinic
🏢 Department Of State Hospitals Facility NPI 1265406565

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Norwalk, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.2 Yrs
Regional Practice Density
40 Specialists

Practicing in Norwalk, CA (10507 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-11-19
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License CA 109928

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Michael Barsom , MD

Psychiatry & Neurology - Psychiatry

NPI 1003842972

Doctor of Medicine (M.D.)

NPI 1013451012

Licensed Clinical Social Worker

Dr. Patricia Gehr , PhD

Psychologist - Clinical

NPI 1013964188

Doctor of Philosophy (Ph.D.)

Precious Ude , RN

Registered Nurse - Psychiatric/Mental Health

NPI 1033097910

Registered Nurse

NPI 1033145198

Doctor of Optometry

Gordon Wollin , LCSW

Social Worker - Clinical

NPI 1033656608

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location November 19, 2024

Registered at 11401 BLOOMFIELD AVE, NORWALK, CA 906502015 (Tel: 5628637011)

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Updated Business Mailing Address November 19, 2024

Registered at 11401 BLOOMFIELD AVE, NORWALK, CA 906502015 (Tel: 5628637011)

📍
Updated Practice Location October 13, 2022

Registered at 1207 E FRUIT ST, SANTA ANA, CA 927014206 (Tel: 7149539373)

📍
Updated Business Mailing Address October 13, 2022

Registered at 1207 E FRUIT ST, SANTA ANA, CA 927014206 (Tel: 7149539373)

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2022

Social Worker (License #109928 in CA)

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NPI Profile Reactivated October 06, 2022

Record officially reactivated for active practice on October 06, 2022

⚠️
NPI Profile Deactivated September 27, 2022

Record deactivated on September 27, 2022

NPI Profile Active September 01, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location September 01, 2021

Registered at 470 E 3RD ST STE C, LOS ANGELES, CA 900131630 (Tel: 2136205712)

📍
Updated Business Mailing Address September 01, 2021

Registered at 470 E 3RD ST STE C, LOS ANGELES, CA 900131630 (Tel: 2136205712)

👤
Provider Name / Credentials Updated September 01, 2021

Recorded as SHIMA DAFTARIAN

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration September 01, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1851069041
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 01, 2021
Last Update: November 19, 2024
Deactivation Date: September 27, 2022
Sole Proprietor: No

Mailing Address

11401 Bloomfield Ave

Norwalk, CA 906502015

Phone: 5628637011

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.