Active NPI
Andres Ivan Delgado
- Student in an Organized Health Care Education/Training Program
- Perris, CA
National Provider Identifier
1083132997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 85 Ramona Expy Ste 13
Perris, CA 92571-7014 - Phone
- (951) 349-4195
- Fax
- (951) 490-0123
- NPI assigned
- Aug 31, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Behavior Technician | 106S00000X | CA | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | Primary |
Addresses
Primary practice location
85 Ramona Expy Ste 13
Perris, CA 92571-7014
Mailing address
5516 Norman Way
Riverside, CA 92504-1634
Phone (951) 643-9118
Other practice location 1
1905 Business Center Dr Unit 100
San Bernardino, CA 92408-3460
Phone (909) 289-1041
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Institute for Behavioral Health | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- San Bernardino, CA
- NPI 1376060442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716854400000",
"number": "1083132997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5516 NORMAN WAY",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925041634",
"telephone_number": "951-643-9118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 RAMONA EXPY STE 13",
"city": "PERRIS",
"state": "CA",
"postal_code": "925717014",
"telephone_number": "951-349-4195",
"fax_number": "951-490-0123"
}
],
"practiceLocations": [
{
"address_1": "1905 Business Center Dr Unit 100",
"address_purpose": "LOCATION",
"city": "San Bernardino",
"state": "CA",
"postal_code": "924083460",
"country_code": "US",
"telephone_number": "909-289-1041",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELGADO",
"first_name": "ANDRES",
"middle_name": "IVAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-31",
"last_updated": "2024-05-28",
"certification_date": "2024-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Perris, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.