Individual provider Active NPI

Aaron Feliciano Menjivar-Vargas, ACSW

  • Social Worker
  • Rancho Cucamonga, CA
National Provider Identifier
1861290702
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
125187 Issued in CA
Practice address
9431 Haven Ave Ste 100
Rancho Cucamonga, CA 91730-5879
Phone
(877) 841-2034
NPI assigned
Mar 6, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 125187 CA Primary

Addresses

Primary practice location

9431 Haven Ave Ste 100
Rancho Cucamonga, CA 91730-5879

Mailing address

1042 N Mountain Ave Ste B560
Upland, CA 91786-3695

Other names 1

  • Aaron Feliciano Menjivar 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

NPI Registry JSON

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

{
    "created_epoch": "1741219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1861290702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1042 N MOUNTAIN AVE STE B560",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9431 HAVEN AVE STE 100",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305879",
            "telephone_number": "877-841-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENJIVAR-VARGAS",
        "first_name": "AARON",
        "middle_name": "FELICIANO",
        "credential": "ACSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "125187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AARON",
            "last_name": "MENJIVAR",
            "middle_name": "FELICIANO",
            "credential": "ACSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.