Luis Angel Pelcastre Ortiz, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1670 Corporate Cir Ste 100
Petaluma, CA 94954

Phone

(707) 308-2140

NPI assigned

Sep 21, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541980800000",
    "number": "1225512528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 CORPORATE CIR",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949546946",
            "telephone_number": "408-497-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 CORPORATE CIR STE 100",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "94954",
            "telephone_number": "707-308-2140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1670 Corporate Cir Ste 100",
            "address_purpose": "LOCATION",
            "city": "Petaluma",
            "state": "CA",
            "postal_code": "94954",
            "country_code": "US",
            "telephone_number": "707-308-2140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELCASTRE ORTIZ",
        "first_name": "LUIS",
        "middle_name": "ANGEL",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-21",
        "last_updated": "2018-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Peacock, M.D.
• Alyssa D Peake, DDS
• Elizabeth Rose Pearson
• Lisa Feth Pearson, M.D.
• Gerard Joseph Garcia Pedraja
• Louis E Pelfini, MD
• Mary Pelleriti
• Clarissa Viviaunie Pena
• Matthew Pena
• Octavio Pena

• Behavior Technician in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.