Active NPI
Serena Morales
- Behavior Technician
- San Diego, CA
National Provider Identifier
1063999274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 501 W Broadway Ste 800
San Diego, CA 92101-3546 - Phone
- (888) 880-9270
- NPI assigned
- Jul 20, 2018
- Sex
- Female
- 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 | CA | Primary |
Addresses
Primary practice location
501 W Broadway Ste 800
San Diego, CA 92101-3546
Mailing address
5321 Benjamin CT
Riverbank, CA 95367-9469
Other practice location 1
10410 Foothill Blvd Apt 11
Oakland, CA 94605-5150
Phone (209) 303-6199
Other practice location 2
400 29th St Ste 204
Oakland, CA 94609-3547
Phone (510) 678-3545
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": "1532044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552435200000",
"number": "1063999274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5321 BENJAMIN CT",
"city": "RIVERBANK",
"state": "CA",
"postal_code": "953679469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 W BROADWAY STE 800",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921013546",
"telephone_number": "888-880-9270"
}
],
"practiceLocations": [
{
"address_1": "10410 Foothill Blvd Apt 11",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946055150",
"country_code": "US",
"telephone_number": "209-303-6199",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 29th St Ste 204",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946093547",
"country_code": "US",
"telephone_number": "510-678-3545",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORALES",
"first_name": "SERENA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-20",
"last_updated": "2019-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": null,
"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 Mar 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.