Active NPI
Patrick Feddor Tomasino-Griego
- Behavior Technician
- San Bruno, CA
National Provider Identifier
1316567357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1001 Sneath LN Ste 200
San Bruno, CA 94066-2349 - Phone
- (916) 382-4447
- NPI assigned
- Apr 20, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
1001 Sneath LN Ste 200
San Bruno, CA 94066-2349
Mailing address
1460 18TH Ave
San Francisco, CA 94122-3409
Phone (404) 205-8023
Other practice location 1
1460 18th Ave
San Francisco, CA 94122-3409
Phone (404) 205-8023
Other names 1
- Patrick Griego
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592956800000",
"number": "1316567357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1460 18TH AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941223409",
"telephone_number": "404-205-8023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 SNEATH LN STE 200",
"city": "SAN BRUNO",
"state": "CA",
"postal_code": "940662349",
"telephone_number": "916-382-4447"
}
],
"practiceLocations": [
{
"address_1": "1460 18th Ave",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941223409",
"country_code": "US",
"telephone_number": "404-205-8023",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TOMASINO-GRIEGO",
"first_name": "PATRICK",
"middle_name": "FEDDOR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-20",
"last_updated": "2020-06-24",
"certification_date": "2020-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICK",
"last_name": "GRIEGO",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in San Bruno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.