Active NPI
John Erick Madrid Lascano
- Behavior Analyst
- Pasadena, CA
National Provider Identifier
1154821171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 200 E. del Mar Blvd
Suite 112
Pasadena, CA 91105 - Phone
- (949) 203-8875
- NPI assigned
- Feb 16, 2018
- 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 Analyst | 103K00000X | Primary |
Addresses
Primary practice location
200 E. del Mar Blvd
Suite 112
Pasadena, CA 91105
Mailing address
295 89TH St
Suite 306
Daly City, CA 94015
Phone (877) 264-6747
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": "1518739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1154821171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "295 89TH ST",
"address_2": "SUITE 306",
"city": "DALY CITY",
"state": "CA",
"postal_code": "94015",
"telephone_number": "877-264-6747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E. DEL MAR BLVD",
"address_2": "SUITE 112",
"city": "PASADENA",
"state": "CA",
"postal_code": "91105",
"telephone_number": "949-203-8875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASCANO",
"first_name": "JOHN ERICK",
"middle_name": "MADRID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-16",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.