Active NPI
Eduardo Del Rio
- Behavior Technician
- South Gate, CA
National Provider Identifier
1245046341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 3666107
- Practice address
- 8926 Garden View Ave
South Gate, CA 90280-2827 - Phone
- (310) 357-9145
- NPI assigned
- Dec 4, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 | 3666107 | CA | Primary |
Addresses
Primary practice location
8926 Garden View Ave
South Gate, CA 90280-2827
Mailing address
12121 Phillips Ave
Lynwood, CA 90262-4629
Phone (310) 357-9145
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 |
|---|---|---|---|
| 3666107 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733270400000",
"number": "1245046341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12121 PHILLIPS AVE",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902624629",
"telephone_number": "310-357-9145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8926 GARDEN VIEW AVE",
"city": "SOUTH GATE",
"state": "CA",
"postal_code": "902802827",
"telephone_number": "310-357-9145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEL RIO",
"first_name": "EDUARDO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-12-04",
"last_updated": "2024-12-04",
"certification_date": "2024-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "3666107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Gate, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.