Individual provider Active NPI

Olivia Claire Mendiola

  • Behavior Technician
  • Elk Grove, CA
National Provider Identifier
1124823687
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
9355 E Stockton Blvd Ste 100
Elk Grove, CA 95624-9476
Phone
(916) 683-1109
NPI assigned
Feb 18, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

9355 E Stockton Blvd Ste 100
Elk Grove, CA 95624-9476

Mailing address

9355 E Stockton Blvd Ste 100
Elk Grove, CA 95624-9476
Phone (916) 683-1109

Other practice location 1

3100 Oak Rd Ste 100
Walnut Creek, CA 94597-2078
Phone (510) 422-3959

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

NPI Registry JSON

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1124823687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9355 E STOCKTON BLVD STE 100",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956249476",
            "telephone_number": "916-683-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9355 E STOCKTON BLVD STE 100",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956249476",
            "telephone_number": "916-683-1109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 Oak Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945972078",
            "country_code": "US",
            "telephone_number": "510-422-3959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDIOLA",
        "first_name": "OLIVIA",
        "middle_name": "CLAIRE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-18",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.