Individual provider Active NPI

Sofia Mendieta

  • Rehabilitation Practitioner
  • San Francisco, CA
National Provider Identifier
1699628685
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Practice address
1525 Silver Ave FL 2
San Francisco, CA 94134-1229
Phone
(628) 754-8100
NPI assigned
Feb 18, 2026
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X CA Primary

Addresses

Primary practice location

1525 Silver Ave FL 2
San Francisco, CA 94134-1229

Mailing address

1525 Silver Ave FL 2
San Francisco, CA 94134-1229

Other practice location 1

2410 Keith St.
San Francisco, CA 94124
Phone (628) 217-5500

Other names 1

  • Fabio Mendieta Other name

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": "1771372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1699628685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 SILVER AVE FL 2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941341229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 SILVER AVE FL 2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941341229",
            "telephone_number": "628-754-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2410 Keith St.",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "94124",
            "country_code": "US",
            "telephone_number": "628-217-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDIETA",
        "first_name": "SOFIA",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2026-02-18",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FABIO",
            "last_name": "MENDIETA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.