Individual provider Active NPI

Evelin Karina Farias-Mireles, PP

  • School Psychologist
  • Moreno Valley, CA
National Provider Identifier
1073463931
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Practice address
15307 Aguila Pass
Moreno Valley, CA 92555-2901
Phone
(909) 261-0262
NPI assigned
Jan 30, 2026
Reactivated
Oct 13, 2026
Last updated
Oct 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X NU Primary

Addresses

Primary practice location

15307 Aguila Pass
Moreno Valley, CA 92555-2901

Mailing address

15307 Aguila Pass
Moreno Valley, CA 92555-2901
Phone (909) 261-0262

Other names 1

  • Evelin Karina Farias Former name

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1769731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1073463931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15307 AGUILA PASS",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925552901",
            "telephone_number": "909-261-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15307 AGUILA PASS",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925552901",
            "telephone_number": "909-261-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARIAS-MIRELES",
        "first_name": "EVELIN",
        "middle_name": "KARINA",
        "name_prefix": "Dr.",
        "credential": "PP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-30",
        "last_updated": "2026-10-13",
        "certification_date": "2026-01-30",
        "deactivation_date": "2026-08-31",
        "reactivation_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVELIN",
            "last_name": "FARIAS",
            "middle_name": "KARINA",
            "credential": "PP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.