Individual provider Active NPI

Michelle Jacqueline Cruz Magana

  • Behavior Technician
  • West Covina, CA
National Provider Identifier
1093443418
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
4141 S Nogales St Unit A104
West Covina, CA 91792-3057
Phone
(833) 831-8946
NPI assigned
Aug 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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 CA Primary

Addresses

Primary practice location

4141 S Nogales St Unit A104
West Covina, CA 91792-3057

Mailing address

4141 S Nogales St Unit A104
West Covina, CA 91792-3057
Phone (833) 831-8946

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL http://sabatherapy.com/ Direct

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": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1093443418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 S NOGALES ST UNIT A104",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917923057",
            "telephone_number": "833-831-8946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 S NOGALES ST UNIT A104",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917923057",
            "telephone_number": "833-831-8946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ MAGANA",
        "first_name": "MICHELLE",
        "middle_name": "JACQUELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://sabatherapy.com/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4141 S Nogales St Unit A104",
            "city": "West Covina",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917923057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.