Active NPI
Michelle Robertson
- Day Training/Habilitation Specialist
- Santa Ana, CA
National Provider Identifier
1003433798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Day Training/Habilitation Specialist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| VN689599 | CA | MD | Licensed Vocational Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite of Passage Adolescent Treatment Centers and Schools Inc. | Current | 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.
-
- Adolescent and Children Mental Health Clinic/Center
- Santa Ana, CA
- NPI 1770127359
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.