Active NPI
Yvette Baltazar
- Behavior Technician
- Ontario, CA
National Provider Identifier
1396481354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 4688 Ontario Mills Pkwy
Ontario, CA 91764-5104 - Phone
- (713) 834-1111
- NPI assigned
- May 11, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
4688 Ontario Mills Pkwy
Ontario, CA 91764-5104
Mailing address
4688 Ontario Mills Pkwy
Ontario, CA 91764-5104
Phone (714) 834-1111
Other practice location 1
9570 Center Ave Ste 100
Rancho Cucamonga, CA 91730-5842
Phone (909) 980-4755
Other practice location 2
6809 Indiana Ave
Riverside, CA 92506-4221
Phone (951) 774-1338
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 |
|---|---|---|---|
| Trinity Youth Services | Past | 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.
-
- Adolescent and Children Mental Health Clinic/Center
- Rancho Cucamonga, CA
- NPI 1619323383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744848000000",
"number": "1396481354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4688 ONTARIO MILLS PKWY",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917645104",
"telephone_number": "714-834-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4688 ONTARIO MILLS PKWY",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917645104",
"telephone_number": "713-834-1111"
}
],
"practiceLocations": [
{
"address_1": "9570 Center Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Rancho Cucamonga",
"state": "CA",
"postal_code": "917305842",
"country_code": "US",
"telephone_number": "909-980-4755",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6809 Indiana Ave",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925064221",
"country_code": "US",
"telephone_number": "951-774-1338",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BALTAZAR",
"first_name": "YVETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-11",
"last_updated": "2025-04-17",
"certification_date": "2025-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.