Active NPI
Alexandra Ostry
- Behavior Analyst
- Granite Bay, CA
National Provider Identifier
1164943965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-17-26885
- Practice address
- 4196 Douglas Blvd
Granite Bay, CA 95746-5904 - Phone
- (916) 489-1376
- Fax
- (916) 489-1386
- NPI assigned
- Jun 30, 2017
- Sex
- Female
- 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 | 1-17-26885 | CA | Primary |
Addresses
Primary practice location
4196 Douglas Blvd
Granite Bay, CA 95746-5904
Mailing address
PO Box 5157
Modesto, CA 95352-5157
Other practice location 1
9355 E Stockton Blvd Ste 100
Elk Grove, CA 95624-9476
Phone (916) 683-1109
Other practice location 2
1115 14th St
Modesto, CA 95354-1003
Phone (209) 572-2589
Other practice location 3
510 Whispering Wind Dr Ste 110
Tracy, CA 95377-8119
Phone (209) 832-7756
Other practice location 4
5601 Arnold Rd Fl 100
Dublin, CA 94568-7726
Phone (916) 489-1376
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": "1498780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547596800000",
"number": "1164943965",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4196 DOUGLAS BLVD",
"city": "GRANITE BAY",
"state": "CA",
"postal_code": "957465904",
"telephone_number": "916-489-1376",
"fax_number": "916-489-1386"
}
],
"practiceLocations": [
{
"address_1": "9355 E Stockton Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Elk Grove",
"state": "CA",
"postal_code": "956249476",
"country_code": "US",
"telephone_number": "916-683-1109",
"fax_number": "916-683-1140",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1115 14th St",
"address_purpose": "LOCATION",
"city": "Modesto",
"state": "CA",
"postal_code": "953541003",
"country_code": "US",
"telephone_number": "209-572-2589",
"fax_number": "209-572-1461",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "510 Whispering Wind Dr Ste 110",
"address_purpose": "LOCATION",
"city": "Tracy",
"state": "CA",
"postal_code": "953778119",
"country_code": "US",
"telephone_number": "209-832-7756",
"fax_number": "209-832-7942",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5601 Arnold Rd Fl 100",
"address_purpose": "LOCATION",
"city": "Dublin",
"state": "CA",
"postal_code": "945687726",
"country_code": "US",
"telephone_number": "916-489-1376",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OSTRY",
"first_name": "ALEXANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-30",
"last_updated": "2019-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-17-26885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Granite Bay, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.