Active NPI
Ghania Mehdi
- Behavior Technician
- San Diego, CA
National Provider Identifier
1417545401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 46-1305562
- Practice address
- 9620 Chesapeake Dr
San Diego, CA 92123-1369 - Phone
- (714) 834-1111
- NPI assigned
- Jan 5, 2021
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Technician | 106S00000X | 46-1305562 | CA | Primary |
Addresses
Primary practice location
9620 Chesapeake Dr
San Diego, CA 92123-1369
Mailing address
44416 Camellia Dr
Fremont, CA 94539-6509
Phone (510) 417-8890
Other practice location 1
39210 State St Ste 204
Fremont, CA 94538-1456
Phone (510) 894-4135
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46-1305562 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674518400000",
"number": "1417545401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44416 CAMELLIA DR",
"city": "FREMONT",
"state": "CA",
"postal_code": "945396509",
"telephone_number": "510-417-8890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9620 CHESAPEAKE DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231369",
"telephone_number": "714-834-1111"
}
],
"practiceLocations": [
{
"address_1": "39210 State St Ste 204",
"address_purpose": "LOCATION",
"city": "Fremont",
"state": "CA",
"postal_code": "945381456",
"country_code": "US",
"telephone_number": "510-894-4135",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEHDI",
"first_name": "GHANIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-05",
"last_updated": "2023-01-24",
"certification_date": "2023-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "46-1305562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.