Sarah Shamblin

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2201 Kilson Dr
Santa Ana, CA 92707-2954

Phone

(949) 350-4431

NPI assigned

Aug 16, 2019

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

Electronic endpoints 1

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.

• Clean Path Recovery, LLC

  • Substance Abuse Rehabilitation Facility
  • Irvine, CA
  • NPI 1578067625
  NPD (past)

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1366098196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 ADAMS AVE",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264958",
            "telephone_number": "949-247-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 KILSON DR",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927072954",
            "telephone_number": "949-350-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMBLIN",
        "first_name": "SARAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sarah@cleanpathbh.com",
            "affiliation": "N",
            "address_1": "2201 Kilson Dr",
            "city": "Santa Ana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927072954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Armenak Shahnazaryan
• Alissa Raye Shahrokh, LVN
• Kamran Shahsavari, DDS
• Ali Shahverdiani, M.D.
• Azadeh Shakerian, M.A.
• Bidyarani Shamurailatpam
• Praachi Shan
• Kathleen Gabriela Shanahan, MA, LMFT
• Susan Shannon
• Ashlee Morgan Shapiro, PA-C

• Behavior Technician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.

Verify at the official NPI Registry.