Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

RAVEN AMBER BIONDO
NPI 1104724558
Rehabilitation Practitioner in San Diego, CA

Q: What is Raven Biondo's NPI number?

The NPI number for Raven Biondo is 1104724558. It was assigned to this individual provider in the NPPES registry on October 27, 2026.

Q: What is Raven Biondo's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

Q: When was this NPI record last updated?

The NPPES record for Raven Biondo was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 27, 2026

1011 CAMINO DEL RIO S STE 300, SAN DIEGO, CA 92108(619) 287-8225(619) 393-0386 Get Directions Write a Review

NPPES record added: October 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Raven Amber Biondo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAVEN AMBER BIONDO (NPI 1104724558) is an individual rehabilitation practitioner in San Diego, California and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1104724558

Entity TypeIndividualFemale

Primary Taxonomy225400000X

Provider Legal NameRAVEN AMBER BIONDO

Location Address1011 CAMINO DEL RIO S STE 300San Diego, CA 92108-3567

Mailing Address1011 Camino Del Rio S Ste 300San Diego, CA 92108-3567 · (619) 287-8225 · Fax (619) 393-0386

Phone(619) 287-8225

Fax(619) 393-0386

Sole ProprietorYes

Enumeration DateOctober 27, 2026

Last NPPES UpdateOctober 28, 2026

NPPES CertifiedOctober 28, 2026

✔ NPI 1104724558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225400000X

Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

1011 CAMINO DEL RIO S STE 300, San Diego, CA 92108

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Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADELLA NICOLE WRAITH

Rehabilitation Practitioner