Nathalie R Darmawan

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

5319 Snowcreek St
Simi Valley, CA 93063-5074

Phone

(805) 416-4833

NPI assigned

Feb 9, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1144812355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5319 SNOWCREEK ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930635074",
            "telephone_number": "805-416-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5319 SNOWCREEK ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930635074",
            "telephone_number": "805-416-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARMAWAN",
        "first_name": "NATHALIE",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vania Damerjian
• Tuan Thanh Dang, PHARMD.
• John T Danial, PH.D.
• Daniel Ghiyam M D Inc
• Daniel K Davis MD Inc
• Lucia Loredana Dattoma, MD
• Dave Hallbauer
• David B. Rosenfeld, M.D., Inc.
• David M. Gudeman, M.D., Inc.
• Jerry A Davidson, M.D.

• Behavior Technician in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.

Verify at the official NPI Registry.