Active NPI
Brian Alejandro Loaiza
- Behavior Technician
- Gilroy, CA
National Provider Identifier
1093305609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- Y5676801
- Practice address
- 9360 N Name Uno Ste 130
Gilroy, CA 95020-3535 - Phone
- (408) 843-9350
- NPI assigned
- Jan 19, 2021
- Sex
- Male
- 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 | Y5676801 | CA | Primary |
Addresses
Primary practice location
9360 N Name Uno Ste 130
Gilroy, CA 95020-3535
Mailing address
6685 Imperial Dr Apt 101
Gilroy, CA 95020-6783
Phone (669) 377-3685
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 |
|---|---|---|---|
| Y5676801 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611100800000",
"number": "1093305609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6685 IMPERIAL DR APT 101",
"city": "GILROY",
"state": "CA",
"postal_code": "950206783",
"telephone_number": "669-377-3685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9360 N NAME UNO STE 130",
"city": "GILROY",
"state": "CA",
"postal_code": "950203535",
"telephone_number": "408-843-9350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOAIZA",
"first_name": "BRIAN",
"middle_name": "ALEJANDRO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-19",
"last_updated": "2021-01-20",
"certification_date": "2021-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "Y5676801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilroy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.