Individual provider Active NPI

Cristian Cardenas

  • Behavior Analyst
  • Van Nuys, CA
National Provider Identifier
1134936396
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
16380 Roscoe Blvd Ste 100
Van Nuys, CA 91406-1221
Phone
(833) 227-3454
NPI assigned
Dec 11, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

16380 Roscoe Blvd Ste 100
Van Nuys, CA 91406-1221

Mailing address

16380 Roscoe Blvd Ste 100
Van Nuys, CA 91406-1221
Phone (833) 227-3454

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
California Psychcare, Inc. Behavior Analyst CurrentSince Dec 15, 2024 Accepting new patients

Locations

16380 Roscoe Blvd
Ste 100
Van Nuys, CA 91406
Phone (818) 401-0661

16380 Roscoe Blvd
Van Nuys, CA 91406

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1134936396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16380 ROSCOE BLVD STE 100",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914061221",
            "telephone_number": "833-227-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16380 ROSCOE BLVD STE 100",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914061221",
            "telephone_number": "833-227-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDENAS",
        "first_name": "CRISTIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-11",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.