In this paper the meteorological drivers of North American Monsoon (NAM) extreme precipitation events (EPEs) are identified and analyzed. First, the NAM area and its subregions are distinguished using self-organizing maps applied to the Climate Prediction Center global precipitation data set. This reveals distinct subregions, shaped by the inhomogeneous geographic features of the NAM area, with distinct extreme precipitation character and drivers. Next, defining EPEs as days when subregion-mean precipitation exceeds the 95th percentile of rainy days, five synoptic features and one mesoscale feature are investigated as potential drivers of EPEs. Essentially all EPEs can be associated with at least one selected driver, with only one event remaining unclassified. This analysis shows the dominant role of Gulf of California moisture surges, mesoscale convective systems and frontal systems in generating NAM extreme precipitation. Finally, a frequency and probability analysis is conducted to contrast precipitation distributions conditioned on the associated meteorological drivers. The findings demonstrate that the co-occurrence of multiple features does not necessarily enhance the EPE probability.