Individual provider Active NPI

Vicente Contreras-Bueno

  • Behavior Technician
  • San Diego, CA
National Provider Identifier
1285816553
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-17-38170 Issued in CA
Practice address
10174 Old Grove Rd Ste 100
San Diego, CA 92131-1652
Phone
(619) 876-9945
Fax
(619) 281-3714
NPI assigned
Nov 28, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Behavior Technician 106S00000X RBT-17-38170 CA Primary

Addresses

Primary practice location

10174 Old Grove Rd Ste 100
San Diego, CA 92131-1652

Mailing address

2155 Corte Vis Apt 84
Chula Vista, CA 91915-4126
Phone (619) 941-2613

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

LicenseStateTypeSpecialty
RBT-17-38170CAMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1285816553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 CORTE VIS APT 84",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919154126",
            "telephone_number": "619-941-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10174 OLD GROVE RD STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311652",
            "telephone_number": "619-876-9945",
            "fax_number": "619-281-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTRERAS-BUENO",
        "first_name": "VICENTE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-17-38170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 21, 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.