Active NPI
Daniel Salazar
- Behavior Technician
- La Puente, CA
National Provider Identifier
1306535711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- F3510700
- Practice address
- 403 Basetdale Ave
La Puente, CA 91746-2263 - Phone
- (626) 615-0409
- NPI assigned
- May 2, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | F3510700 | CA | Primary |
Addresses
Primary practice location
403 Basetdale Ave
La Puente, CA 91746-2263
Mailing address
403 Basetdale Ave
La Puente, CA 91746-2263
Phone (626) 615-0409
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 |
|---|---|---|---|
| F3510700 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682985600000",
"number": "1306535711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 BASETDALE AVE",
"city": "LA PUENTE",
"state": "CA",
"postal_code": "917462263",
"telephone_number": "626-615-0409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 BASETDALE AVE",
"city": "LA PUENTE",
"state": "CA",
"postal_code": "917462263",
"telephone_number": "626-615-0409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAZAR",
"first_name": "DANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-02",
"last_updated": "2023-05-02",
"certification_date": "2023-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "F3510700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Puente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.