Active NPI
Ziryanni Simpson
- Behavior Technician
- Concord, CA
National Provider Identifier
1083113500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 2103645132
- Practice address
- 1855 2ND St Ste B
Concord, CA 94519-2623 - Phone
- (925) 239-9640
- NPI assigned
- Feb 10, 2018
- Sex
- Male
- 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 | 2103645132 | NV | Primary |
Addresses
Primary practice location
1855 2ND St Ste B
Concord, CA 94519-2623
Mailing address
16782 Von Karman Ave Ste 11
Irvine, CA 92606-2417
Phone (949) 833-2237
Other practice location 1
408 S Jones Blvd
Las Vegas, NV 89107-2658
Phone (702) 502-8021
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2103645132 | Medicaid | NV |
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 |
|---|---|---|---|
| 2103645132 | NV | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554163200000",
"number": "1083113500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16782 VON KARMAN AVE STE 11",
"city": "IRVINE",
"state": "CA",
"postal_code": "926062417",
"telephone_number": "949-833-2237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1855 2ND ST STE B",
"city": "CONCORD",
"state": "CA",
"postal_code": "945192623",
"telephone_number": "925-239-9640"
}
],
"practiceLocations": [
{
"address_1": "408 S Jones Blvd",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891072658",
"country_code": "US",
"telephone_number": "702-502-8021",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMPSON",
"first_name": "ZIRYANNI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-10",
"last_updated": "2019-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NV",
"license": "2103645132",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2103645132",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.