Active NPI
Jasmine Ortiz Tejeiro
- Behavior Technician
- Riverside, CA
National Provider Identifier
1265019681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 5750 Division St
Riverside, CA 92506-3269 - Phone
- (951) 900-6390
- NPI assigned
- Mar 24, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-21-160921 | CA | |
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
5750 Division St
Riverside, CA 92506-3269
Mailing address
8885 Rio San Diego Dr Ste 340
San Diego, CA 92108-1669
Other practice location 1
3878 Ruffin Rd Ste B
San Diego, CA 92123-1842
Phone (619) 795-9925
Other practice location 2
21600 Oxnard St
Woodland Hills, CA 91367-4976
Phone (818) 345-2345
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-21-160921 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624320000000",
"number": "1265019681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8885 RIO SAN DIEGO DR STE 340",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921081669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5750 DIVISION ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925063269",
"telephone_number": "951-900-6390"
}
],
"practiceLocations": [
{
"address_1": "3878 Ruffin Rd Ste B",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921231842",
"country_code": "US",
"telephone_number": "619-795-9925",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "21600 Oxnard St",
"address_purpose": "LOCATION",
"city": "Woodland Hills",
"state": "CA",
"postal_code": "913674976",
"country_code": "US",
"telephone_number": "818-345-2345",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TEJEIRO",
"first_name": "JASMINE",
"middle_name": "ORTIZ",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-24",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "RBT-21-160921",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.