Organization Active NPI

Health Empowerment Through Active Leadership

  • Community Health Worker
  • San Bernardino, CA
National Provider Identifier
1306713227
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
HEALTH EMPOWERMENT THROUGH ACTIVE LEADERSHIP
Practice address
5250 University Pkwy
San Bernardino, CA 92407-7051
Phone
(909) 310-2013
NPI assigned
Oct 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Authorized official

Name
Mariah Y Grajeda
Title
Executive Director
Phone
(951) 805-9856

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 172V00000X Primary

Addresses

Primary practice location

5250 University Pkwy
San Bernardino, CA 92407-7051

Mailing address

1013 Sunbrook Dr
San Bernardino, CA 92407-5357

National Provider Directory

National Provider Directory

Locations

5250 University Pkwy
San Bernardino, CA 92407
Phone (909) 310-2013

NPI Registry JSON

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

{
    "created_epoch": "1761177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1306713227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 SUNBROOK DR",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924075357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 UNIVERSITY PKWY",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924077051",
            "telephone_number": "909-310-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH EMPOWERMENT THROUGH ACTIVE LEADERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-23",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "GRAJEDA",
        "authorized_official_first_name": "MARIAH",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "951-805-9856"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.