Active NPI
Eliza Destiny Melendez
- Behavior Analyst
- San Bernardino, CA
National Provider Identifier
1306719281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- W9052344
- Practice address
- 1475 W Victoria St
San Bernardino, CA 92411-2638 - Phone
- (714) 881-0427
- Fax
- (714) 327-0673
- NPI assigned
- Sep 26, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | W9052344 | CA | Primary |
Addresses
Primary practice location
1475 W Victoria St
San Bernardino, CA 92411-2638
Mailing address
1475 W Victoria St
San Bernardino, CA 92411-2638
Phone (714) 881-0427
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 |
|---|---|---|---|
| W9052344 | CA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761264000000",
"number": "1306719281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1475 W VICTORIA ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924112638",
"telephone_number": "714-881-0427",
"fax_number": "714-327-0673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 W VICTORIA ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924112638",
"telephone_number": "714-881-0427",
"fax_number": "714-327-0673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELENDEZ",
"first_name": "ELIZA",
"middle_name": "DESTINY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-26",
"last_updated": "2025-10-24",
"certification_date": "2025-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "W9052344",
"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 24, 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.