Individual provider Active NPI

Karina Thalia Landaverde

  • Behavior Technician
  • Walnut Creek, CA
National Provider Identifier
1063125490
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
3075 Citrus Cir Ste 240
Walnut Creek, CA 94598-2667
Phone
(916) 364-7800
Fax
(925) 256-1100
NPI assigned
Dec 30, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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 Primary

Addresses

Primary practice location

3075 Citrus Cir Ste 240
Walnut Creek, CA 94598-2667

Mailing address

3075 Citrus Cir Ste 240
Walnut Creek, CA 94598-2667
Phone (916) 364-7800

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

NPI Registry JSON

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

{
    "created_epoch": "1672358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1063125490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 CITRUS CIR STE 240",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982667",
            "telephone_number": "916-364-7800",
            "fax_number": "925-256-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 CITRUS CIR STE 240",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982667",
            "telephone_number": "916-364-7800",
            "fax_number": "925-256-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDAVERDE",
        "first_name": "KARINA",
        "middle_name": "THALIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-30",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.

Verify at the official NPI Registry.