Individual provider Active NPI

Diana Judith Garcia Martinez, RBT

  • Behavior Technician
  • Vista, CA
National Provider Identifier
1174016208
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
1857404 Issued in CA
Practice address
707 Civic Center Dr Ste 202
Vista, CA 92084-6162
Phone
(760) 294-1206
Fax
(949) 474-1493
NPI assigned
Jun 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 1857404 CA Primary

Addresses

Primary practice location

707 Civic Center Dr Ste 202
Vista, CA 92084-6162

Mailing address

707 Civic Center Dr Ste 202
Vista, CA 92084-6162
Phone (760) 294-1206

Other names 1

  • Diana Judith Garcia Former name

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

State licenses

LicenseStateTypeSpecialty
1857404CAMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1174016208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 CIVIC CENTER DR STE 202",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920846162",
            "telephone_number": "760-294-1206",
            "fax_number": "949-726-8324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 CIVIC CENTER DR STE 202",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920846162",
            "telephone_number": "760-294-1206",
            "fax_number": "949-474-1493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA MARTINEZ",
        "first_name": "DIANA",
        "middle_name": "JUDITH",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "1857404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "GARCIA",
            "middle_name": "JUDITH",
            "credential": "RBT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.