Active NPI
Charisse Ricafort
- Other Technician
- Orange, CA
National Provider Identifier
1023847522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 1944 N Tustin St Ste 114
Orange, CA 92865-4643 - Phone
- (657) 758-4882
- NPI assigned
- Jul 31, 2024
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | Primary |
Addresses
Primary practice location
1944 N Tustin St Ste 114
Orange, CA 92865-4643
Mailing address
1717 E Birch St Apt H204
Brea, CA 92821-5110
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Impartial Behavioral Therapy | Single Specialty | Current | Accepting new patients |
Locations
1944 N Tustin St
Ste 114
Orange, CA 92865
Phone (657) 205-7645
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722384000000",
"number": "1023847522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 E BIRCH ST APT H204",
"city": "BREA",
"state": "CA",
"postal_code": "928215110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1944 N TUSTIN ST STE 114",
"city": "ORANGE",
"state": "CA",
"postal_code": "928654643",
"telephone_number": "657-758-4882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICAFORT",
"first_name": "CHARISSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-31",
"last_updated": "2024-07-31",
"certification_date": "2024-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.