Active NPI
Dalanii Delacruz
- Behavior Technician
- Vallejo, CA
National Provider Identifier
1336703669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- Y2788929
- Practice address
- 420 Annette Ave
Vallejo, CA 94591-6574 - Phone
- (415) 573-6181
- NPI assigned
- Apr 22, 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 | Y2788929 | CA | Primary |
Addresses
Primary practice location
420 Annette Ave
Vallejo, CA 94591-6574
Mailing address
PO Box 4544
Hayward, CA 94540-4544
Phone (415) 573-6181
Other practice location 1
420 Annette Ave
Vallejo, CA 94591-6574
Phone (415) 573-6181
Other practice location 2
420 Annette Ave
Vallejo, CA 94591-6574
Phone (415) 573-6181
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 |
|---|---|---|---|
| Y2788929 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555891200000",
"number": "1336703669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4544",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945404544",
"telephone_number": "415-573-6181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 ANNETTE AVE",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945916574",
"telephone_number": "415-573-6181"
}
],
"practiceLocations": [
{
"address_1": "420 Annette Ave",
"address_purpose": "LOCATION",
"city": "Vallejo",
"state": "CA",
"postal_code": "945916574",
"country_code": "US",
"telephone_number": "415-573-6181",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "420 Annette Ave",
"address_purpose": "LOCATION",
"city": "Vallejo",
"state": "CA",
"postal_code": "945916574",
"country_code": "US",
"telephone_number": "415-573-6181",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELACRUZ",
"first_name": "DALANII",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-22",
"last_updated": "2019-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "Y2788929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vallejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.