Individual provider Active NPI

Elsa Cristina Rodriguez

  • Behavior Analyst
  • Mountain View, CA
National Provider Identifier
1316396948
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-19-38124 Issued in CA
Practice address
36 Oak LN
Mountain View, CA 94040-2629
Phone
(650) 938-3600
NPI assigned
Jun 4, 2016
Last updated
Aug 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-19-38124 CA Primary

Addresses

Primary practice location

36 Oak LN
Mountain View, CA 94040-2629

Mailing address

1573 Havana Dr
San Jose, CA 95122-2208
Phone (305) 299-4249

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

Practice roles

OrganizationSpecialtyStatusNew patients
Angel Behavioral Path LLC Behavior Analyst CurrentSince Aug 8, 2021 Accepting new patients
Ana Ansin, Inc Behavior Analyst Past Accepting new patients
Therapeutic Learning Consultants, Inc. PastSince Aug 8, 2021 Accepting new patients

Locations

1150 S King Rd
Ste 40152
San Jose, CA 95122

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1464998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1316396948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1573 HAVANA DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951222208",
            "telephone_number": "305-299-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 OAK LN",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940402629",
            "telephone_number": "650-938-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ELSA",
        "middle_name": "CRISTINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-04",
        "last_updated": "2021-08-04",
        "certification_date": "2021-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-19-38124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.

Verify at the official NPI Registry.