Active NPI
Karen Alejandra Potosme
- Behavior Technician
- Hayward, CA
National Provider Identifier
1326538372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1151 A St
Hayward, CA 94541-4113 - Phone
- (510) 826-2960
- NPI assigned
- May 15, 2018
- Reactivated
- Mar 27, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
1151 A St
Hayward, CA 94541-4113
Mailing address
22330 S Garden Ave Apt 29
Hayward, CA 94541-6084
Phone (510) 921-8953
Other practice location 1
22330 S Garden Ave Apt 29
Hayward, CA 94541-6084
Phone (510) 921-8953
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": "1526342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553644800000",
"number": "1326538372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22330 S GARDEN AVE APT 29",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945416084",
"telephone_number": "510-921-8953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1151 A ST",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945414113",
"telephone_number": "510-826-2960"
}
],
"practiceLocations": [
{
"address_1": "22330 S Garden Ave Apt 29",
"address_purpose": "LOCATION",
"city": "Hayward",
"state": "CA",
"postal_code": "945416084",
"country_code": "US",
"telephone_number": "510-921-8953",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POTOSME",
"first_name": "KAREN",
"middle_name": "ALEJANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-15",
"last_updated": "2019-03-27",
"deactivation_date": "2019-03-05",
"reactivation_date": "2019-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.