Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shante Erica Medearis

Individual provider Community Health Worker · NPI 1750193678

Shante Erica Medearis is a Community Health Worker in Riverside, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025
Specialties on file
3

Practice location Address checks out

2085 Rustin Ave
Riverside, CA 92507-2498
Phone: (951) 955-4126
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence MPSS-BDXHFQ (CA)
Community Health Worker Taxonomy 172V00000X
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1750193678
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 27, 2025
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025

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