Individual provider Active NPI

Mikaela Dixon

  • Clinical Social Worker
  • Los Altos, CA
National Provider Identifier
1336939107
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
130563 Issued in CA
Practice address
4984 El Camino Real Ste 208
Los Altos, CA 94022-1433
Phone
(650) 297-3400
NPI assigned
May 7, 2025
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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 130563 CA Primary

Addresses

Primary practice location

4984 El Camino Real Ste 208
Los Altos, CA 94022-1433

Mailing address

350 E Taylor St Apt 2218
San Jose, CA 95112-3149
Phone (908) 625-6845

Other practice location 1

1600 The Alameda Ste 103
San Jose, CA 95126-2341
Phone (408) 430-5516

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": "1746576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1336939107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 E TAYLOR ST APT 2218",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951123149",
            "telephone_number": "908-625-6845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4984 EL CAMINO REAL STE 208",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221433",
            "telephone_number": "650-297-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 The Alameda Ste 103",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951262341",
            "country_code": "US",
            "telephone_number": "408-430-5516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIXON",
        "first_name": "MIKAELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-07",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "130563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.