Individual provider Active NPI

Hanna Palmquist, RBT

  • Behavior Technician
  • Pleasanton, CA
National Provider Identifier
1093216202
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
17-27912 Issued in CA
Practice address
5111 Johnson Dr
Pleasanton, CA 94588
Phone
(925) 596-7000
NPI assigned
Feb 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 17-27912 CA Primary

Addresses

Primary practice location

5111 Johnson Dr
Pleasanton, CA 94588

Mailing address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Phone (818) 345-2345

Other practice location 1

2751 Wilmington Ave
Sacramento, CA 95820-1048
Phone (916) 923-1789

Other practice location 2

8950 Cal Center Dr Ste 137
Sacramento, CA 95826-3236
Phone (916) 932-3172

Other practice location 3

1901 Royal Oaks Dr Ste 201
Sacramento, CA 95815-4235
Phone (916) 923-1789

Other practice location 4

1901 Royal Oaks Dr Ste 201
Sacramento, CA 95815-4235
Phone (916) 923-1789

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

LicenseStateTypeSpecialty
17-27912CAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Education, Inc. 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1093216202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 OXNARD ST STE 1800",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913677807",
            "telephone_number": "818-345-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 JOHNSON DR",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "94588",
            "telephone_number": "925-596-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2751 Wilmington Ave",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958201048",
            "country_code": "US",
            "telephone_number": "916-923-1789",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8950 Cal Center Dr Ste 137",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958263236",
            "country_code": "US",
            "telephone_number": "916-932-3172",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 Royal Oaks Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958154235",
            "country_code": "US",
            "telephone_number": "916-923-1789",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 Royal Oaks Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958154235",
            "country_code": "US",
            "telephone_number": "916-923-1789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMQUIST",
        "first_name": "HANNA",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-22",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "17-27912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.

Verify at the official NPI Registry.