Active NPI
Mark Anthony Vargas
- Behavior Analyst
- Riverside, CA
National Provider Identifier
1205458460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 94193 Flat Rock Dr Ste 220
Riverside, CA 92505 - Phone
- (951) 440-6220
- NPI assigned
- May 11, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
94193 Flat Rock Dr Ste 220
Riverside, CA 92505
Mailing address
5148 Humboldt CT
Riverside, CA 92507-6079
Phone (951) 966-3272
Other practice location 1
5148 Humboldt Ct
Riverside, CA 92507-6079
Phone (951) 966-3272
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": "1589155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589155200000",
"number": "1205458460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5148 HUMBOLDT CT",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925076079",
"telephone_number": "951-966-3272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94193 FLAT ROCK DR STE 220",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "92505",
"telephone_number": "951-440-6220"
}
],
"practiceLocations": [
{
"address_1": "5148 Humboldt Ct",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925076079",
"country_code": "US",
"telephone_number": "951-966-3272",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VARGAS",
"first_name": "MARK",
"middle_name": "ANTHONY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-11",
"last_updated": "2020-05-11",
"certification_date": "2020-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.