Jorge I Gorriti Arbulu, BEHAVIORAL TECHNICIA

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

350 Ward Ave Ste 106
Honolulu, HI 96814-4004

Phone

(800) 273-4292

Fax

(949) 253-4627

NPI assigned

Jan 23, 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

Practice roles

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.

• Footprints Behavior Interventions

  • Community/Behavioral Health Agency
  • Fountain Valley, CA
  • NPI 1770004830
  NPD (past)
• Footprints Behavioral Interventions, Inc.

  • Early Intervention Provider Agency
  • Santa Ana, CA
  • NPI 1780978858
  NPD (past)

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1255839445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11037 WARNER AVE # 339",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084007",
            "telephone_number": "800-273-4292",
            "fax_number": "949-253-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 WARD AVE STE 106",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144004",
            "telephone_number": "800-273-4292",
            "fax_number": "949-253-4627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORRITI ARBULU",
        "first_name": "JORGE",
        "middle_name": "I",
        "credential": "BEHAVIORAL TECHNICIA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-23",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Gordon
• Katherine Gordon
• Leanna Lyn Gordon, D.O.
• Mackeala Gordon
• Tayler Aubrey Mitchell Gorgas, MA, BCBA
• Josette Kapiolani Gose
• Selena G Goss, MA, MD
• Heather Jennette Gostage
• Dylan S Goto, MD
• Radford Yutaka Goto, D.M.D.

• Other Technician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Other Technician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.