Individual provider Active NPI

Yuri Pinzon

  • Behavior Analyst
  • San Diego, CA
National Provider Identifier
1164925582
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
9620 Chesapeake Dr Ste 105
San Diego, CA 92123-1324
Phone
(858) 505-9083
NPI assigned
Mar 12, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Behavior Technician 106S00000X CA
Behavior Analyst 103K00000X CA Primary

Addresses

Primary practice location

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

Mailing address

3878 Ruffin Rd Ste B
San Diego, CA 92123-1842
Phone (619) 795-9925

Other practice location 1

251 Airport Rd
Oceanside, CA 92058-1201
Phone (760) 721-1706

Other practice location 2

3878 Ruffin Rd Ste B
San Diego, CA 92123-1842
Phone (619) 795-9925

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": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1164925582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3878 RUFFIN RD STE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231842",
            "telephone_number": "619-795-9925"
        },
        {
            "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": [
        {
            "address_1": "251 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920581201",
            "country_code": "US",
            "telephone_number": "760-721-1706",
            "fax_number": "760-231-5574",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3878 Ruffin Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921231842",
            "country_code": "US",
            "telephone_number": "619-795-9925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINZON",
        "first_name": "YURI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-12",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": null,
            "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 Jul 27, 2023; 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.