MEDICARE: ROBERTA CONTRERAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	373H00000X	Day Training/Habilitation Specialist		CA

General Provider Information

NPI Number	:	1386520211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERTA CONTRERAS

Provider Business Mailing Address
First Line	:	25910 ACERO STE 160
Second Line	:
City	:	MISSION VIEJO
State	:	CA
Zip	:	92691-2777
Country	:	US
Telephone Number	:	877-527-7227
Fax Number	:

Provider Business Practice Location Address
First Line	:	701 W KIMBERLY AVE
Second Line	:
City	:	PLACENTIA
State	:	CA
Zip	:	92870-6342
Country	:	US
Telephone Number	:	877-527-7227
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2025
Last Update Date	:	01/15/2026

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