Active NPI
Michael Mejia
- Rehabilitation Practitioner
- Riverside, CA
National Provider Identifier
1831731264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 1170 Tripoli St Apt 7
Riverside, CA 92507-3909 - Phone
- (951) 842-8490
- NPI assigned
- Oct 17, 2019
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CA | ||
| Case Manager/Care Coordinator | 171M00000X | |||
| Case Manager/Care Coordinator | 171M00000X | CA | ||
| Rehabilitation Practitioner | 225400000X | CA | Primary |
Addresses
Primary practice location
1170 Tripoli St Apt 7
Riverside, CA 92507-3909
Mailing address
1170 Tripoli St Apt 7
Riverside, CA 92507-3909
Phone (951) 842-8490
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B9186951 | Medicaid | CA |
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": "1571270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752019200000",
"number": "1831731264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1170 TRIPOLI ST APT 7",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925073909",
"telephone_number": "951-842-8490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1170 TRIPOLI ST APT 7",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925073909",
"telephone_number": "951-842-8490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEJIA",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-10-17",
"last_updated": "2025-07-09",
"certification_date": "2025-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "B9186951",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.