Active NPI
Christopher Joel Herrera-Borja
- Behavior Technician
- Hawthorne, CA
National Provider Identifier
1124690607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- Unsure
Hawthorne, CA 90250 - Phone
- (323) 481-2792
- NPI assigned
- Jul 14, 2021
- Sex
- Male
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
Unsure
Hawthorne, CA 90250
Mailing address
1055 E. Colorado Blvd. Suite 560 Pasadena, Ca 91106
Pasadena, CA 91106
Phone (818) 241-6780
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": "1626220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626220800000",
"number": "1124690607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 E. COLORADO BLVD. SUITE 560 PASADENA, CA 91106",
"city": "PASADENA",
"state": "CA",
"postal_code": "91106",
"telephone_number": "818-241-6780",
"fax_number": "818-241-6853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UNSURE",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "90250",
"telephone_number": "323-481-2792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRERA-BORJA",
"first_name": "CHRISTOPHER",
"middle_name": "JOEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-14",
"last_updated": "2021-07-14",
"certification_date": "2021-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hawthorne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.