Active NPI
Adolf0 Mejia, M.ED.
- Behavior Analyst
- Ontario, CA
National Provider Identifier
1538605944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-19-35343
- Practice address
- 3602 Inland Empire Blvd Ste B208
Ontario, CA 91764-4912 - Phone
- (909) 491-9363
- NPI assigned
- Jan 9, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | E1349108 | CA | |
| Behavior Analyst | 103K00000X | 1-19-35343 | CA | Primary |
Addresses
Primary practice location
3602 Inland Empire Blvd Ste B208
Ontario, CA 91764-4912
Mailing address
4175 Adams St
Riverside, CA 92504-3003
Phone (626) 367-7002
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E1349108 | CA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunny Days of California | Past | 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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659916800000",
"number": "1538605944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4175 ADAMS ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925043003",
"telephone_number": "626-367-7002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3602 INLAND EMPIRE BLVD STE B208",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917644912",
"telephone_number": "909-491-9363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEJIA",
"first_name": "ADOLF0",
"credential": "M.ED.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-09",
"last_updated": "2022-08-08",
"certification_date": "2022-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "E1349108",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-19-35343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.