Active NPI
Laurenza Mijares
- Rehabilitation Practitioner
- Rialto, CA
National Provider Identifier
1487514741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 5589 N Riverside Ave
Rialto, CA 92377-3967 - Phone
- (909) 440-3113
- NPI assigned
- Nov 17, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | CA | Primary | |
| Day Training/Habilitation Specialist | 373H00000X |
Addresses
Primary practice location
5589 N Riverside Ave
Rialto, CA 92377-3967
Mailing address
5589 N Riverside Ave
Rialto, CA 92377-3967
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diakonia Incorporation | Rehabilitation Practitioner | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Practitioner
- Rialto, CA
- NPI 1346101714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768262400000",
"number": "1487514741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5589 N RIVERSIDE AVE",
"city": "RIALTO",
"state": "CA",
"postal_code": "923773967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5589 N RIVERSIDE AVE",
"city": "RIALTO",
"state": "CA",
"postal_code": "923773967",
"telephone_number": "909-440-3113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIJARES",
"first_name": "LAURENZA",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-11-17",
"last_updated": "2026-01-13",
"certification_date": "2026-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rialto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.