Individual provider Active NPI

Mario Roberto Cuevas

  • Peer Specialist
  • Camarillo, CA
National Provider Identifier
1932947397
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Practice address
333 N Lantana St Ste 259
Camarillo, CA 93010-9008
Phone
(820) 426-1545
NPI assigned
Jul 18, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X CA
Day Training/Habilitation Specialist 373H00000X CA
Peer Specialist 175T00000X CA Primary

Addresses

Primary practice location

333 N Lantana St Ste 259
Camarillo, CA 93010-9008

Mailing address

3587 Sweetwood St
Simi Valley, CA 93063-2535
Phone (661) 388-7020

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

Practice roles

OrganizationSpecialtyStatusNew patients
United Parents CurrentSince Jul 21, 2024 Accepting new patients

Locations

333 N Lantana St
Ste 259
Camarillo, CA 93010
Phone (805) 384-1555

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1932947397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3587 SWEETWOOD ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632535",
            "telephone_number": "661-388-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N LANTANA ST STE 259",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930109008",
            "telephone_number": "820-426-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUEVAS",
        "first_name": "MARIO",
        "middle_name": "ROBERTO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-18",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.