Active NPI
Gilbert Nolly Dungo Arcilla Jr.
- Behavior Technician
- Oakland, CA
National Provider Identifier
1164046082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 818 Webster St
Oakland, CA 94607-4220 - Phone
- (510) 986-6800
- Fax
- (510) 986-6896
- NPI assigned
- Jun 5, 2020
- 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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
818 Webster St
Oakland, CA 94607-4220
Mailing address
818 Webster St
Oakland, CA 94607-4220
Phone (510) 986-6800
Other practice location 1
5820 Stoneridge Mall Rd Ste 205
Pleasanton, CA 94588-3347
Phone (877) 418-2978
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": "1591315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729555200000",
"number": "1164046082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "818 WEBSTER ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946074220",
"telephone_number": "510-986-6800",
"fax_number": "510-986-6896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 WEBSTER ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946074220",
"telephone_number": "510-986-6800",
"fax_number": "510-986-6896"
}
],
"practiceLocations": [
{
"address_1": "5820 Stoneridge Mall Rd Ste 205",
"address_purpose": "LOCATION",
"city": "Pleasanton",
"state": "CA",
"postal_code": "945883347",
"country_code": "US",
"telephone_number": "877-418-2978",
"fax_number": "866-500-2186",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARCILLA",
"first_name": "GILBERT NOLLY",
"middle_name": "DUNGO",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-05",
"last_updated": "2024-10-22",
"certification_date": "2024-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.