Active NPI
Raquel Phillips
- Behavior Technician
- Murrieta, CA
National Provider Identifier
1053943530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 41760 Ivy St Ste 202
Murrieta, CA 92562-9416 - Phone
- (951) 200-5532
- NPI assigned
- Feb 12, 2020
- Sex
- Female
- Sole proprietor
- No
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
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
41760 Ivy St Ste 202
Murrieta, CA 92562-9416
Mailing address
41760 Ivy St Ste 202
Murrieta, CA 92562-9416
Phone (951) 200-5532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 12, 2020.
{
"created_epoch": "1581465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581465600000",
"number": "1053943530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41760 IVY ST STE 202",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925629416",
"telephone_number": "951-200-5532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41760 IVY ST STE 202",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925629416",
"telephone_number": "951-200-5532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "RAQUEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-12",
"last_updated": "2020-02-12",
"certification_date": "2020-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murrieta, CA
- Philip Ebersole M D Family Practice Professional Corporation
- Phillip J. Ortiz, a Dental Corporation
- Christopher Michael Phillips
- Lily Y. Phillips, MD
- Meghan Ann Phillips
- Robert Phillips, P.A.
- Stacey Ann Marie Phillips, LVN
- Teresa Phinazee
- Phoenix Rising Holistic Therapies LLC
- Physicians' Hospital of Murrieta, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.