Active NPI
Cristian Gandara
- Behavior Analyst
- Pico Rivera, CA
National Provider Identifier
1376900340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-15-20678
- Practice address
- 9625 Lochinvar Dr
Pico Rivera, CA 90660 - Phone
- (323) 828-9551
- Fax
- (323) 978-6035
- NPI assigned
- Jan 21, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 Analyst | 103K00000X | 1-15-20678 | CA | Primary |
Addresses
Primary practice location
9625 Lochinvar Dr
Pico Rivera, CA 90660
Mailing address
9625 Lochinvar Dr
Pico Rivera, CA 90660-3935
Phone (323) 828-9551
Other practice location 1
713 W Commonwealth Ave
A
Fullerton, CA 92832-1612
Phone (714) 879-4274 ext. 87942
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 |
|---|---|---|---|
| Family Care Spectrum Therapies | Behavior Analyst | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Behavior Analyst
- Long Beach, CA
- NPI 1346700697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527206400000",
"number": "1376900340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9625 LOCHINVAR DR",
"city": "PICO RIVERA",
"state": "CA",
"postal_code": "906603935",
"telephone_number": "323-828-9551",
"fax_number": "323-978-6035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9625 LOCHINVAR DR",
"city": "PICO RIVERA",
"state": "CA",
"postal_code": "90660",
"telephone_number": "323-828-9551",
"fax_number": "323-978-6035"
}
],
"practiceLocations": [
{
"address_1": "713 W Commonwealth Ave",
"address_2": "A",
"address_purpose": "LOCATION",
"city": "Fullerton",
"state": "CA",
"postal_code": "928321612",
"country_code": "US",
"telephone_number": "714-879-4274 x87942",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GANDARA",
"first_name": "CRISTIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-01-21",
"last_updated": "2018-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-15-20678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pico Rivera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.