Active NPI
Renata Viridiana Rendon
- Behavior Technician
- National City, CA
National Provider Identifier
1063276954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-24-387593
- Practice address
- 1125 National City Blvd
Aparment 422
National City, CA 91950 - Phone
- (619) 517-8054
- NPI assigned
- Feb 12, 2024
- Last updated
- Oct 28, 2024
- Sex
- Female
- 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 | RBT-24-387593 | CA | Primary |
Addresses
Primary practice location
1125 National City Blvd
Aparment 422
National City, CA 91950
Mailing address
1125 National City Blvd
Aparment 422
National City, CA 91950
Phone (619) 517-8054
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 |
|---|---|---|---|
| RBT-24-387593 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1063276954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 NATIONAL CITY BLVD",
"address_2": "APARMENT 422",
"city": "NATIONAL CITY",
"state": "CA",
"postal_code": "91950",
"telephone_number": "619-517-8054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 NATIONAL CITY BLVD",
"address_2": "APARMENT 422",
"city": "NATIONAL CITY",
"state": "CA",
"postal_code": "91950",
"telephone_number": "619-517-8054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENDON",
"first_name": "RENATA",
"middle_name": "VIRIDIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-12",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "RBT-24-387593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in National City, CA
- Rehabworx Physical Therapy Incorporated
- Reliable Care Medical Group AMC PC
- Reliable Health Care Inc
- Reliancerx, Inc. (Palm Care Pharmacy)
- Claudette Remigio, NP
- Reonida, LLC Dba Renato B Masilungan, MD
- Restore Medical Group
- Restoring Citizen Program
- Retina Institute of California Medical Group, a California Medical Par
- Retina Institute of California Medical Group, a California Medical Par (Acuity Eye Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.