Organization Active NPI

Blue ABA California LLC

  • Behavior Analyst
  • San Francisco, CA
National Provider Identifier
1164378576
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BLUE ABA CALIFORNIA LLC
Practice address
71 Stevenson St Ste 400
San Francisco, CA 94105-0908
Phone
(415) 228-6879
Fax
(623) 748-1919
NPI assigned
Mar 9, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Authorized official

Name
Gershon Fink, DO
Title
Manager
Phone
(415) 228-6879

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

71 Stevenson St Ste 400
San Francisco, CA 94105-0908

Mailing address

71 Stevenson St Ste 400
San Francisco, CA 94105-0908
Phone (415) 228-6879

National Provider Directory

National Provider Directory

Locations

71 Stevenson St
Ste 400
San Francisco, CA 94105
Phone (415) 228-6879

NPI Registry JSON

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

{
    "created_epoch": "1773014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1164378576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 STEVENSON ST STE 400",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941050908",
            "telephone_number": "415-228-6879",
            "fax_number": "623-748-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 STEVENSON ST STE 400",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941050908",
            "telephone_number": "415-228-6879",
            "fax_number": "623-748-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE ABA CALIFORNIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-09",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A",
        "authorized_official_last_name": "FINK",
        "authorized_official_first_name": "GERSHON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "415-228-6879",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.