Individual provider Active NPI

Alejandra Padilla Jamora, BCBA

  • Behavior Analyst
  • San Diego, CA
National Provider Identifier
1154695823
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-11-9239
Practice address
9620 Chesapeake Dr Ste 105
San Diego, CA 92123-1324
Phone
(858) 505-9083
NPI assigned
Feb 28, 2012
Last updated
Nov 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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 1-11-9239 Primary

Addresses

Primary practice location

9620 Chesapeake Dr Ste 105
San Diego, CA 92123-1324

Mailing address

9620 Chesapeake Dr Ste 105
San Diego, CA 92123-1324
Phone (858) 505-9083

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": "1330387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1154695823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9620 CHESAPEAKE DR STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231324",
            "telephone_number": "858-505-9083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9620 CHESAPEAKE DR STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231324",
            "telephone_number": "858-505-9083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA JAMORA",
        "first_name": "ALEJANDRA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-28",
        "last_updated": "2021-11-29",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-11-9239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.