Active NPI
Cathy Madrigal, RBT
- Behavior Technician
- La Mesa, CA
National Provider Identifier
1013518885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-20-143053
- Practice address
- 8030 La Mesa Blvd Ste 25
La Mesa, CA 91942-0335 - Phone
- (619) 782-0700
- Fax
- (619) 782-0710
- NPI assigned
- Nov 6, 2020
- Sex
- Female
- 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 Technician | 106S00000X | RBT-20-143053 | CA | Primary |
Addresses
Primary practice location
8030 La Mesa Blvd Ste 25
La Mesa, CA 91942-0335
Mailing address
12662 Ragweed St
San Diego, CA 92129-3623
Phone (805) 720-8285
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-20-143053 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604620800000",
"number": "1013518885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12662 RAGWEED ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921293623",
"telephone_number": "805-720-8285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8030 LA MESA BLVD STE 25",
"city": "LA MESA",
"state": "CA",
"postal_code": "919420335",
"telephone_number": "619-782-0700",
"fax_number": "619-782-0710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADRIGAL",
"first_name": "CATHY",
"credential": "RBT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-06",
"last_updated": "2020-11-06",
"certification_date": "2020-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": "CA",
"license": "RBT-20-143053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.