Individual provider Active NPI

Teresa Mendoza Muwwakkil, WELLNESS COACH II

  • Health & Wellness Coach
  • Beaumont, CA
National Provider Identifier
1497660831
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
License
8E3990A334 Issued in CA
Practice address
1520 E 8TH St
Beaumont, CA 92223-2416
Phone
(909) 486-9782
NPI assigned
Aug 18, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X 8E3990A334 CA Primary

Addresses

Primary practice location

1520 E 8TH St
Beaumont, CA 92223-2416

Mailing address

1378 San Miguel Dr
Beaumont, CA 92223-1530
Phone (909) 486-9782

Other practice location 1

350 W Brookside Ave
Cherry Valley, CA 92223-4073
Phone (909) 486-9782

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": "1787011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1497660831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1378 SAN MIGUEL DR",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922231530",
            "telephone_number": "909-486-9782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 E 8TH ST",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922232416",
            "telephone_number": "909-486-9782"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 W Brookside Ave",
            "address_purpose": "LOCATION",
            "city": "Cherry Valley",
            "state": "CA",
            "postal_code": "922234073",
            "country_code": "US",
            "telephone_number": "909-486-9782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDOZA MUWWAKKIL",
        "first_name": "TERESA",
        "name_prefix": "Mrs.",
        "credential": "WELLNESS COACH II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-18",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "CA",
            "license": "8E3990A334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.