Active NPI
Mateo Rios
- Rehabilitation Practitioner
- Los Angeles, CA
National Provider Identifier
1780458000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 11303 W Washington Blvd
Los Angeles, CA 90066-6003 - Phone
- (310) 482-3260
- NPI assigned
- Nov 7, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Day Training/Habilitation Specialist | 373H00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | ||
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
11303 W Washington Blvd
Los Angeles, CA 90066-6003
Mailing address
5650 Blackwelder St
Los Angeles, CA 90016-3212
Other practice location 1
2650 E Foothill Blvd
Pasadena, CA 91107-3439
Phone (626) 577-2261
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": "1699315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787356800000",
"number": "1780458000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5650 BLACKWELDER ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900163212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11303 W WASHINGTON BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900666003",
"telephone_number": "310-482-3260"
}
],
"practiceLocations": [
{
"address_1": "2650 E Foothill Blvd",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "911073439",
"country_code": "US",
"telephone_number": "626-577-2261",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIOS",
"first_name": "MATEO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-11-07",
"last_updated": "2026-08-22",
"certification_date": "2026-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.