Individual provider Active NPI

Michelle Robertson

  • Day Training/Habilitation Specialist
  • Santa Ana, CA
National Provider Identifier
1003433798
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Day Training/Habilitation SpecialistTaxonomy code 373H00000X
Practice address
400 N Tustin Ave Ste 120
Santa Ana, CA 92705-3879
Phone
(714) 617-4886
NPI assigned
Jun 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X VN689599 CA
Day Training/Habilitation Specialist 373H00000X CA Primary

Addresses

Primary practice location

400 N Tustin Ave Ste 120
Santa Ana, CA 92705-3879

Mailing address

400 N Tustin Ave Ste 120
Santa Ana, CA 92705-3879
Phone (714) 617-4886

Other practice location 1

250 Joann St
Costa Mesa, CA 92626-6455
Phone (949) 631-9041

Other practice location 2

1597 Baker St
Costa Mesa, CA 92626-3746
Phone (714) 435-7940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
VN689599CAMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Rite of Passage Adolescent Treatment Centers and Schools Inc. CurrentSince Jul 5, 2020 Accepting new patients

Locations

400 N Tustin Ave
Ste 120
Santa Ana, CA 92705
Phone (714) 227-9310

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1003433798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N TUSTIN AVE STE 120",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053879",
            "telephone_number": "714-617-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N TUSTIN AVE STE 120",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053879",
            "telephone_number": "714-617-4886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Joann St",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926266455",
            "country_code": "US",
            "telephone_number": "949-631-9041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1597 Baker St",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926263746",
            "country_code": "US",
            "telephone_number": "714-435-7940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-29",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN689599",
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.