Individual provider Active NPI

Diana Koraima Cadena Hernandez, BA

  • Behavior Technician
  • San Diego, CA
National Provider Identifier
1053827352
Registry record updated Dec 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-17-32888 Issued in CA
Practice address
3978 Sorrento Valley Blvd Ste 100
San Diego, CA 92121-1436
Phone
(858) 428-0222
NPI assigned
Dec 21, 2017
Last updated
Dec 21, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-17-32888 CA Primary

Addresses

Primary practice location

3978 Sorrento Valley Blvd Ste 100
San Diego, CA 92121-1436

Mailing address

3578 Ediwhar Ave
San Diego, CA 92123-2246
Phone (858) 337-8454

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
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
RBT-17-32888CAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Xcite Steps, LLC PastSince Aug 28, 2022 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513814400000",
    "number": "1053827352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3578 EDIWHAR AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232246",
            "telephone_number": "858-337-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3978 SORRENTO VALLEY BLVD STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211436",
            "telephone_number": "858-428-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADENA HERNANDEZ",
        "first_name": "DIANA",
        "middle_name": "KORAIMA",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-21",
        "last_updated": "2017-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-17-32888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.

Verify at the official NPI Registry.