Individual provider Active NPI

Cristofer Ian Mishler Bermudez, CADC II

  • Day Training/Habilitation Specialist
  • San Diego, CA
National Provider Identifier
1043007545
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Day Training/Habilitation SpecialistTaxonomy code 373H00000X
License
RA1030121 Issued in CA
Practice address
3870 Murphy Canyon Rd
San Diego, CA 92123-4446
Phone
(858) 300-0460
Fax
(858) 300-0461
NPI assigned
Apr 21, 2025
Last updated
Feb 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Day Training/Habilitation Specialist 373H00000X RA1030121 CA Primary

Addresses

Primary practice location

3870 Murphy Canyon Rd
San Diego, CA 92123-4446

Mailing address

3870 Murphy Canyon Rd
San Diego, CA 92123-4446
Phone (858) 300-0460

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
RA1030121CAMDDay Training/Habilitation Specialist

NPI Registry JSON

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1043007545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3870 MURPHY CANYON RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234446",
            "telephone_number": "858-300-0460",
            "fax_number": "858-300-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3870 MURPHY CANYON RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234446",
            "telephone_number": "858-300-0460",
            "fax_number": "858-300-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHLER BERMUDEZ",
        "first_name": "CRISTOFER",
        "middle_name": "IAN",
        "credential": "CADC II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-21",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "CA",
            "license": "RA1030121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; 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.