Individual provider Active NPI

Monserate Mitchell, LVN

  • Methadone Clinic
  • Chula Vista, CA
National Provider Identifier
1811101603
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
License
37-07 Issued in CA
Practice address
1640 Maple Dr
Unit 71
Chula Vista, CA 91911-5942
Phone
(619) 425-5448
NPI assigned
May 10, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X 37-07 CA Primary
Licensed Vocational Nurse 164X00000X VN207724 CA

Addresses

Primary practice location

1640 Maple Dr
Unit 71
Chula Vista, CA 91911-5942

Mailing address

1640 Maple Dr
Unit 71
Chula Vista, CA 91911-5942
Phone (619) 425-5448

Other names 1

  • Monserate Moreno Anderson Former 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

State licenses

LicenseStateTypeSpecialty
VN207724CAMDLicensed Vocational Nurse
37-07CAMDMethadone Clinic

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1811101603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 MAPLE DR",
            "address_2": "UNIT 71",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919115942",
            "telephone_number": "619-425-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 MAPLE DR",
            "address_2": "UNIT 71",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919115942",
            "telephone_number": "619-425-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MONSERATE",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "CA",
            "license": "37-07",
            "primary": true
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN207724",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONSERATE",
            "last_name": "ANDERSON",
            "middle_name": "MORENO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.