Active NPI
Kelly Vargas
- Behavior Technician
- Los Gatos, CA
National Provider Identifier
1366160020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 13980 Blossom Hill Rd Ste a
Los Gatos, CA 95032-5121 - Phone
- (619) 795-9925
- Fax
- (877) 602-5087
- NPI assigned
- Aug 18, 2022
- 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
13980 Blossom Hill Rd Ste a
Los Gatos, CA 95032-5121
Mailing address
8885 Rio San Diego Dr Ste 340
San Diego, CA 92108-1669
Phone (619) 795-9925
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mebe San Francisco, LLC | Past | Accepting new patients | |
| Mebe San Diego | Behavior Technician | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660780800000",
"number": "1366160020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8885 RIO SAN DIEGO DR STE 340",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921081669",
"telephone_number": "619-795-9925",
"fax_number": "877-602-5087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13980 BLOSSOM HILL RD STE A",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950325121",
"telephone_number": "619-795-9925",
"fax_number": "877-602-5087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGAS",
"first_name": "KELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-18",
"last_updated": "2022-08-18",
"certification_date": "2022-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Gatos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.