Individual provider Active NPI

Maria Alejandra Mejia Rivera

  • Clinical Social Worker
  • Carlsbad, CA
National Provider Identifier
1316293327
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
79743 Issued in CA
Practice address
2890 Pio Pico Dr Ste 200a
Carlsbad, CA 92008-1558
Phone
(760) 683-9407
Fax
(760) 452-4078
NPI assigned
Jul 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 79743 CA Primary

Addresses

Primary practice location

2890 Pio Pico Dr Ste 200a
Carlsbad, CA 92008-1558

Mailing address

PO Box 514
Carlsbad, CA 92018-0514
Phone (760) 683-9407

Other identifiers 1

IdentifierTypeStateIssuer
3402136MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190925000263 CA Practitioner - Clinical Social Worker 6204166804 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
79743CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lizzette Vescera Marriage and Family Therapy CurrentSince Sep 24, 2023 Accepting new patients

Locations

2890 Pio Pico Dr
Ste 200A
Carlsbad, CA 92008
Phone (562) 257-6528

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1316293327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 514",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920180514",
            "telephone_number": "760-683-9407",
            "fax_number": "760-452-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2890 PIO PICO DR STE 200A",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081558",
            "telephone_number": "760-683-9407",
            "fax_number": "760-452-4078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEJIA RIVERA",
        "first_name": "MARIA",
        "middle_name": "ALEJANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-27",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "79743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3402136",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.