Active NPI
David Everson, RBT
- Behavior Technician
- San Diego, CA
National Provider Identifier
1053827519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 18705
- Practice address
- 3978 Sorrento Valley Blvd
San Diego, CA 92121-1436 - Phone
- (858) 428-0222
- NPI assigned
- Dec 20, 2017
- Last updated
- Dec 20, 2017
- Sex
- Male
- 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 | 18705 | CA | Primary |
Addresses
Primary practice location
3978 Sorrento Valley Blvd
San Diego, CA 92121-1436
Mailing address
3978 Sorrento Valley Blvd
San Diego, CA 92121-1436
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 |
|---|---|---|---|
| Xcite Steps, LLC | Single Specialty | Past | 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": "1513728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513728000000",
"number": "1053827519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3978 SORRENTO VALLEY BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921211436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3978 SORRENTO VALLEY BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921211436",
"telephone_number": "858-428-0222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVERSON",
"first_name": "DAVID",
"name_prefix": "Mr.",
"credential": "RBT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-12-20",
"last_updated": "2017-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "18705",
"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 20, 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.