Jacob Raul Talavera

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

16500 Ventura Blvd Ste 360
Encino, CA 91436-2016

Phone

(818) 788-1003

NPI assigned

Sep 19, 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

Other identifiers 1

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": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1255815973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16500 VENTURA BLVD STE 360",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362016",
            "telephone_number": "818-788-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16500 VENTURA BLVD STE 360",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362016",
            "telephone_number": "818-788-1003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8506 Liman Way",
            "address_purpose": "LOCATION",
            "city": "Rohnert Park",
            "state": "CA",
            "postal_code": "949284636",
            "country_code": "US",
            "telephone_number": "323-630-2007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5123 Coringa Dr",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900421032",
            "country_code": "US",
            "telephone_number": "323-630-2007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALAVERA",
        "first_name": "JACOB",
        "middle_name": "RAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-19",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "NCF251A55446",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alisa Tagvoryan
• Hamid Reza Tahery, M.D.
• Mitra Tahvildarian, PH.D., AGNP, CFMP
• Tajav Toomari DO Inc
• Kaylee Takami
• Talented People Inc
• Talin Amadian, OD, a Professional Corporation
• Talin Golnazarian DDS Inc
• Desiree Tamjidi, PHD
• Tan Bui Chiropractic, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.

Verify at the official NPI Registry.