Active NPI
Matthew Greer Marshall
- Behavior Technician
- Irvine, CA
National Provider Identifier
1225751878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-230319
- Practice address
- 2222 Martin Ste 170
Irvine, CA 92612-1450 - Phone
- (949) 474-5577
- Fax
- (949) 475-5575
- NPI assigned
- Sep 20, 2022
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | |||
| Behavior Technician | 106S00000X | RBT-22-230319 | CA | Primary |
Addresses
Primary practice location
2222 Martin Ste 170
Irvine, CA 92612-1450
Mailing address
3701 Parkview LN Apt 17B
Irvine, CA 92612-1806
Phone (714) 944-5665
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | bsanchez@ascaba.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-22-230319 | CA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism Spectrum Consultants | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Developmentally Disabled Services Day Training Agency
- Irvine, CA
- NPI 1306167994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663632000000",
"number": "1225751878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 PARKVIEW LN APT 17B",
"city": "IRVINE",
"state": "CA",
"postal_code": "926121806",
"telephone_number": "714-944-5665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 MARTIN STE 170",
"city": "IRVINE",
"state": "CA",
"postal_code": "926121450",
"telephone_number": "949-474-5577",
"fax_number": "949-475-5575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "MATTHEW",
"middle_name": "GREER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-20",
"last_updated": "2022-09-20",
"certification_date": "2022-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "RBT-22-230319",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "bsanchez@ascaba.com",
"affiliation": "N",
"endpointDescription": "Office Email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2222 Martin Ste 170",
"city": "Irvine",
"state": "CA",
"country_code": "US",
"postal_code": "926121450",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.