Alyssa Lutz

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

4548 Bentley Rd
Oakdale, CA 95361-7938

Phone

(209) 499-1115

NPI assigned

May 11, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Bbxcs LLC

  • Community/Behavioral Health Agency
  • Manteca, CA
  • NPI 1265103931
  NPD (past)

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1336723741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 E DECAMERON LN",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429035",
            "telephone_number": "209-499-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4548 BENTLEY RD",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953617938",
            "telephone_number": "209-499-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTZ",
        "first_name": "ALYSSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahin Laghaee, MD
• Jeanette Kay Lasater, MFT
• Robin N Lewis, RN
• Longs Drug Stores California LLC
• Meegan Massie Lucore
• Mabrook L. Shehata MD Medical Corporation
• Haily Macedo
• Elaine M Madayag-Capuno, MD
• Chaitanya Natvarsinh Mahida, M.D.
• Kalindi Caroline Malcom

• Behavior Technician in Oakdale, CA
• Providers in Oakdale, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.