Jonathon Virtus Drew

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

Practice address

12235 Beach Blvd Ste 100
Stanton, CA 90680-3943

Phone

(714) 202-0118

NPI assigned

Aug 13, 2019

Sex

Male

Sole proprietor

Yes

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.

• Active Steps

  • Behavior Technician
  • Stanton, CA
  • NPI 1639737117
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 13, 2019.

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1003462359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5851 SACRAMENTO AVE",
            "city": "ALTA LOMA",
            "state": "CA",
            "postal_code": "917012723",
            "telephone_number": "909-727-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12235 BEACH BLVD STE 100",
            "city": "STANTON",
            "state": "CA",
            "postal_code": "906803943",
            "telephone_number": "714-202-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREW",
        "first_name": "JONATHON",
        "middle_name": "VIRTUS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nguyen DO
• Thanh Mai DO, PHARM D.
• Jean Marie Donaghy
• Dorothy Chao, DDS Inc.
• Dream Night Diagnostic Services Inc.
• Jonathan Driskill
• Abigail Droste
• Marcus Dunnick
• Melissa Duong
• Brittany Marie Durgiah

• All providers in Stanton, CA
• Assistant Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.