Active NPI
David Cruz Nunez
- Behavior Technician
- Los Angeles, CA
National Provider Identifier
1043956345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- Y6479185
- Practice address
- 166 E 46TH St
Los Angeles, CA 90011-3408 - Phone
- (323) 812-9662
- NPI assigned
- May 9, 2022
- Sex
- Male
- Sole proprietor
- No
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 | Y6479185 | CA | Primary |
Addresses
Primary practice location
166 E 46TH St
Los Angeles, CA 90011-3408
Mailing address
166 E 46TH St
Los Angeles, CA 90011-3408
Phone (323) 812-9662
Other practice location 1
166 E 46th St
Los Angeles, CA 90011-3408
Phone (323) 812-9662
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 |
|---|---|---|---|
| Y6479185 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652054400000",
"number": "1043956345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 E 46TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900113408",
"telephone_number": "323-812-9662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 E 46TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900113408",
"telephone_number": "323-812-9662"
}
],
"practiceLocations": [
{
"address_1": "166 E 46th St",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900113408",
"country_code": "US",
"telephone_number": "323-812-9662",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRUZ NUNEZ",
"first_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-09",
"last_updated": "2022-05-09",
"certification_date": "2022-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "Y6479185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.