Active NPI
Thiensam Luyen
- Behavior Technician
- San Diego, CA
National Provider Identifier
1205658689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 501 W Broadway
Suite 800
San Diego, CA 92101-3546 - Phone
- (949) 272-6730
- NPI assigned
- Oct 28, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
501 W Broadway
Suite 800
San Diego, CA 92101-3546
Mailing address
7108 S Kanner Hwy
Stuart, FL 34997-7462
Phone (185) 583-2672
Other practice location 1
3045 S Archibald Ave Ste H-1043
Ontario, CA 91761-9001
Phone (855) 832-6727 ext. 1
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": "1730073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764028800000",
"number": "1205658689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7108 S KANNER HWY",
"city": "STUART",
"state": "FL",
"postal_code": "349977462",
"telephone_number": "185-583-2672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 W BROADWAY",
"address_2": "SUITE 800",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921013546",
"telephone_number": "949-272-6730"
}
],
"practiceLocations": [
{
"address_1": "3045 S Archibald Ave Ste H-1043",
"address_purpose": "LOCATION",
"city": "Ontario",
"state": "CA",
"postal_code": "917619001",
"country_code": "US",
"telephone_number": "855-832-6727 x1",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUYEN",
"first_name": "THIENSAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-28",
"last_updated": "2025-11-25",
"certification_date": "2025-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.