Active NPI
Ricardo Penate Jr., RBT
- Behavior Analyst
- Sacramento, CA
National Provider Identifier
1013429992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- RBT-17-29658
- Practice address
- 1901 Royal Oaks Dr
Sacramento, CA 95815-3868 - Phone
- (916) 923-1789
- Fax
- (916) 923-1789
- NPI assigned
- Oct 31, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | RBT-17-29658 | CA | Primary |
Addresses
Primary practice location
1901 Royal Oaks Dr
Sacramento, CA 95815-3868
Mailing address
7942 Deer Lake Dr
Sacramento, CA 95823-4437
Phone (916) 662-4452
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-17-29658 | CA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509408000000",
"number": "1013429992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7942 DEER LAKE DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958234437",
"telephone_number": "916-662-4452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 ROYAL OAKS DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958153868",
"telephone_number": "916-923-1789",
"fax_number": "916-923-1789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENATE",
"first_name": "RICARDO",
"name_suffix": "Jr.",
"credential": "RBT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-10-31",
"last_updated": "2017-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "RBT-17-29658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.