Individual provider Active NPI

Bianca Martinez-Salazar

  • Behavior Technician
  • Dublin, CA
National Provider Identifier
1154824340
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
17-46761 Issued in CA
Practice address
5601 Arnold Rd FL 100
Dublin, CA 94568-7726
Phone
(209) 572-2589
Fax
(209) 572-1461
NPI assigned
Mar 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 17-46761 CA Primary

Addresses

Primary practice location

5601 Arnold Rd FL 100
Dublin, CA 94568-7726

Mailing address

PO Box 5157
Modesto, CA 95352-5157
Phone (209) 572-2589

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10812 Cotter St
Oakland, CA 94605-5603

2615 Ashby Ave
Berkeley, CA 94705-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17-46761CAMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1154824340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5157",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953525157",
            "telephone_number": "209-572-2589",
            "fax_number": "209-572-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 ARNOLD RD FL 100",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945687726",
            "telephone_number": "209-572-2589",
            "fax_number": "209-572-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ-SALAZAR",
        "first_name": "BIANCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "17-46761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, CA

Sources for this page

Verify at the official NPI Registry.