Steven Mitchell, DRIVER

Primary specialty

DriverTaxonomy code 172A00000X

Practice address

4889 Streambay CT
Riverside, CA 92505-5130

Phone

(951) 230-9156

NPI assigned

Oct 28, 2021

Last updated

Oct 29, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mr. Steven Mitchell Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1609530252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4889 STREAMBAY CT",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925055130",
            "telephone_number": "951-230-9156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4889 STREAMBAY CT",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925055130",
            "telephone_number": "951-230-9156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "STEVEN",
        "credential": "DRIVER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46-5613115",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEVEN",
            "last_name": "MITCHELL",
            "prefix": "MR.",
            "credential": "FAMILIES AGAINST MET",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Janelle Denise Mitchell, O.T.
• Jason Mitchell Jr.
• Kenesha Mitchell
• Marykatherine Mitchell
• Mavernie Mitchell, LCSW
• Zachary I Miulli
• Antonio Mixon
• Lynda Mixon, D.D.S.
• Susan Miyabe, OD
• Megan Midori Miyamura, RN

• Driver in Riverside, CA
• Providers in Riverside, CA by specialty
• Driver in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.