Active NPI
Princess Oreiro
- Behavior Technician
- Concord, CA
National Provider Identifier
1174012652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1200 Concord Ave Ste 100
Concord, CA 94520-4969 - Phone
- (510) 268-8120
- NPI assigned
- May 9, 2018
- 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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
1200 Concord Ave Ste 100
Concord, CA 94520-4969
Mailing address
2079 Memorial LN
Manteca, CA 95337-8042
Phone (209) 373-7540
Other practice location 1
751A Camino Plz
San Bruno, CA 94066-3401
Phone (650) 627-8045
Other practice location 2
424 Peninsula Ave
San Mateo, CA 94401-1653
Phone (650) 286-4396
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": "1525824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679529600000",
"number": "1174012652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2079 MEMORIAL LN",
"city": "MANTECA",
"state": "CA",
"postal_code": "953378042",
"telephone_number": "209-373-7540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 CONCORD AVE STE 100",
"city": "CONCORD",
"state": "CA",
"postal_code": "945204969",
"telephone_number": "510-268-8120"
}
],
"practiceLocations": [
{
"address_1": "751A Camino Plz",
"address_purpose": "LOCATION",
"city": "San Bruno",
"state": "CA",
"postal_code": "940663401",
"country_code": "US",
"telephone_number": "650-627-8045",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "424 Peninsula Ave",
"address_purpose": "LOCATION",
"city": "San Mateo",
"state": "CA",
"postal_code": "944011653",
"country_code": "US",
"telephone_number": "650-286-4396",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OREIRO",
"first_name": "PRINCESS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-09",
"last_updated": "2023-03-23",
"certification_date": "2023-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.