Active NPI
Joselyn Serrano Gutierrez
- Behavior Analyst
- San Pablo, CA
National Provider Identifier
1073163705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 2955 17TH St
San Pablo, CA 94806-2338 - Phone
- (415) 810-9265
- NPI assigned
- Sep 15, 2019
- Last updated
- Sep 15, 2019
- 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 Analyst | 103K00000X | Primary |
Addresses
Primary practice location
2955 17TH St
San Pablo, CA 94806-2338
Mailing address
2970 Hilltop Mall Rd Ste 104
Richmond, CA 94806-1948
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": "1568505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568505600000",
"number": "1073163705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2970 HILLTOP MALL RD STE 104",
"city": "RICHMOND",
"state": "CA",
"postal_code": "948061948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2955 17TH ST",
"city": "SAN PABLO",
"state": "CA",
"postal_code": "948062338",
"telephone_number": "415-810-9265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERRANO GUTIERREZ",
"first_name": "JOSELYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-15",
"last_updated": "2019-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Pablo, CA
- Cynthia Segura, BCCC2025-23
- Seneca Center
- Seneca Center
- Seneca Family of Agencies (All-In Montalvin Manor Elementary School)
- Seneca Family of Agencies (Caliber Beta Academy)
- Dominie Estandian Serrano, RPH
- Don Lyle Severn, CI21700218 (CADC 1 )
- Alaafia Faremi Shannon Shambe
- Brenda M. Shank, MD, PHD
- Radhika Rani Sharma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.