Individual provider Active NPI

Javier Sotomayor-Galindo, BCBA

  • Behavior Analyst
  • San Diego, CA
National Provider Identifier
1255712485
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-14-17793 Issued in CA
Practice address
3636 Camino del Rio N
San Diego, CA 92108-1703
Phone
(619) 603-1410
NPI assigned
Jun 12, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-14-17793 CA Primary

Addresses

Primary practice location

3636 Camino del Rio N
San Diego, CA 92108-1703

Mailing address

3636 Camino del Rio N
San Diego, CA 92108-1703
Phone (619) 603-1410

Other names 1

  • Javier Sotomayor Professional name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Habita Behavioral Care Behavior Analyst CurrentSince Sep 5, 2023 Accepting new patients

Locations

3636 Camino del Rio N
San Diego, CA 92108
Phone (619) 603-1410

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.

NPI Registry JSON

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1255712485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 CAMINO DEL RIO N",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081703",
            "telephone_number": "619-603-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 CAMINO DEL RIO N",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081703",
            "telephone_number": "619-603-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTOMAYOR-GALINDO",
        "first_name": "JAVIER",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-12",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-14-17793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAVIER",
            "last_name": "SOTOMAYOR",
            "credential": "BCBA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Sep 1, 2023; 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.