Individual provider Active NPI

Genisanne De Ocampo Doregios

  • Behavior Technician
  • Westlake Village, CA
National Provider Identifier
1114762754
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
2625 Townsgate Rd Ste 102
Westlake Village, CA 91361-5726
Phone
(805) 413-3009
NPI assigned
Jun 26, 2024
Last updated
Jul 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

2625 Townsgate Rd Ste 102
Westlake Village, CA 91361-5726

Mailing address

1401 Lombard St Apt 2608
Oxnard, CA 93030-8278
Phone (805) 612-4047

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cortica Behavior Technician Current Accepting new patients

Locations

2625 Townsgate Rd
Ste 102
Westlake Vlg, CA 91361
Phone (805) 413-3009

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1114762754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 LOMBARD ST APT 2608",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930308278",
            "telephone_number": "805-612-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 TOWNSGATE RD STE 102",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913615726",
            "telephone_number": "805-413-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOREGIOS",
        "first_name": "GENISANNE",
        "middle_name": "DE OCAMPO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.

Verify at the official NPI Registry.