Kaymein Mordecai Mandoriao Tapia

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1171 Homestead Rd Ste 250
Santa Clara, CA 95050-5485

Phone

(408) 203-2025

NPI assigned

Jun 18, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1013577352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 CALLE MESA ALTA",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950357853",
            "telephone_number": "916-548-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 HOMESTEAD RD STE 250",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950505485",
            "telephone_number": "408-203-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDORIAO TAPIA",
        "first_name": "KAYMEIN",
        "middle_name": "MORDECAI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorraine Adeline Maloon, LCSW
• Alan H. Man, MD
• Marie Cris Manalastas
• April Mancuso, D.O.
• Benjamin Reyes Mandac, MD
• Pia Marcela Mandrekar
• Kristine Mae Mangalindan, M.D.
• Dianne Ey Mani, PSY.D
• William S. Manich
• Mia Dominique Manipud, NP

• Behavior Technician in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.