Active NPI
Zinnia ABA LLC
- Adult Day Care Clinic/Center
- Newport Beach, CA
National Provider Identifier
1104598374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- ZINNIA ABA LLC
- Practice address
- 3822 Campus Dr Ste 500
Newport Beach, CA 92660-2674 - Phone
- (877) 262-7803
- NPI assigned
- Oct 5, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gilbert Yates
- Title
- Contract Manager
- Phone
- (877) 262-7803
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | |||
| Pediatric Neurodevelopmental Disabilities Physician | 2080P0008X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
3822 Campus Dr Ste 500
Newport Beach, CA 92660-2674
Mailing address
3822 Campus Dr Ste 500
Newport Beach, CA 92660-2674
Phone (877) 262-7803
Other practice location 1
3 Corbett Way
Eatontown, NJ 07724-2283
Phone (877) 262-7803
Other practice location 2
295 Interlocken Blvd Ste 400
Broomfield, CO 80021-8105
Phone (877) 262-7803
National Provider Directory
National Provider Directory- Tax ID family
- Zinnia ABA LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Day Care Clinic/Center
- Newport Beach, CA
- NPI 1316604960
-
- Adult Day Care Clinic/Center
- Eatontown, NJ
- NPI 1164189965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727740800000",
"number": "1104598374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3822 CAMPUS DR STE 500",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602674",
"telephone_number": "877-262-7803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3822 CAMPUS DR STE 500",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602674",
"telephone_number": "877-262-7803"
}
],
"practiceLocations": [
{
"address_1": "3 Corbett Way",
"address_purpose": "LOCATION",
"city": "Eatontown",
"state": "NJ",
"postal_code": "077242283",
"country_code": "US",
"telephone_number": "877-262-7803",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "295 Interlocken Blvd Ste 400",
"address_purpose": "LOCATION",
"city": "Broomfield",
"state": "CO",
"postal_code": "800218105",
"country_code": "US",
"telephone_number": "877-262-7803",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ZINNIA ABA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-05",
"last_updated": "2024-10-01",
"certification_date": "2024-10-01",
"status": "A",
"authorized_official_last_name": "YATES",
"authorized_official_first_name": "GILBERT",
"authorized_official_title_or_position": "CONTRACT MANAGER",
"authorized_official_telephone_number": "877-262-7803"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0006X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0008X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Neurodevelopmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.