Individual provider Active NPI

Jasmine Alivario Grisanti

  • Behavior Technician
  • Rancho Cordova, CA
National Provider Identifier
1093610727
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
10824 Olson Dr Ste C
Rancho Cordova, CA 95670-5651
Phone
(916) 847-5008
Fax
(916) 580-0898
NPI assigned
Oct 12, 2026
Last updated
Oct 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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 Primary

Addresses

Primary practice location

10824 Olson Dr Ste C
Rancho Cordova, CA 95670-5651

Mailing address

4933 Roselle CMN
Fremont, CA 94536-7934
Phone (510) 386-5998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1093610727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4933 ROSELLE CMN",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945367934",
            "telephone_number": "510-386-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10824 OLSON DR STE C",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956705651",
            "telephone_number": "916-847-5008",
            "fax_number": "916-580-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISANTI",
        "first_name": "JASMINE",
        "middle_name": "ALIVARIO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-12",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cordova, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.