Active NPI
Michael Antonio Titus Jr.
- Day Training/Habilitation Specialist
- Burlingame, CA
National Provider Identifier
1174339626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Day Training/Habilitation Specialist
- Practice address
- 700 Airport Blvd
Burlingame, CA 94010-1908 - Phone
- (415) 650-6082
- NPI assigned
- Dec 9, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | CA | ||
| Day Training/Habilitation Specialist | 373H00000X | CA | Primary |
Addresses
Primary practice location
700 Airport Blvd
Burlingame, CA 94010-1908
Mailing address
931 San Bruno Ave W RM 2
San Bruno, CA 94066-3435
Phone (415) 375-7626
Other practice location 1
931 San Bruno Ave W Rm 2
San Bruno, CA 94066-3435
Phone (415) 375-7626
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": "1733702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756166400000",
"number": "1174339626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "931 SAN BRUNO AVE W RM 2",
"city": "SAN BRUNO",
"state": "CA",
"postal_code": "940663435",
"telephone_number": "415-375-7626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 AIRPORT BLVD",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "940101908",
"telephone_number": "415-650-6082"
}
],
"practiceLocations": [
{
"address_1": "931 San Bruno Ave W Rm 2",
"address_purpose": "LOCATION",
"city": "San Bruno",
"state": "CA",
"postal_code": "940663435",
"country_code": "US",
"telephone_number": "415-375-7626",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TITUS",
"first_name": "MICHAEL",
"middle_name": "ANTONIO",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-12-09",
"last_updated": "2025-08-26",
"certification_date": "2025-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlingame, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.