Active NPI
Janeth E Herrejon
- Behavior Technician
- Gonzales, CA
National Provider Identifier
1124692488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- NONE
- Practice address
- 324 S Belden St
Gonzales, CA 93926 - Phone
- (831) 905-8396
- NPI assigned
- May 19, 2021
- Last updated
- May 19, 2021
- Sex
- Female
- 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 | NONE | CA | Primary |
Addresses
Primary practice location
324 S Belden St
Gonzales, CA 93926
Mailing address
PO Box 1541
Gonzales, CA 93926-1541
Phone (831) 905-8396
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 99868287D93060 | Other | CA | MEDICAL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NONE | CA | MD | Behavioral Neurology & Neuropsychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1124692488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1541",
"city": "GONZALES",
"state": "CA",
"postal_code": "939261541",
"telephone_number": "831-905-8396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 S BELDEN ST",
"city": "GONZALES",
"state": "CA",
"postal_code": "93926",
"telephone_number": "831-905-8396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERREJON",
"first_name": "JANETH",
"middle_name": "E",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-19",
"last_updated": "2021-05-19",
"certification_date": "2021-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "NONE",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "99868287D93060",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gonzales, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.