Individual provider Active NPI

John Strother McGlinn IV

  • Behavior Analyst
  • San Juan Capistrano, CA
National Provider Identifier
1427691260
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
30991 Via Estenaga
San Juan Capistrano, CA 92675-2933
Phone
(949) 357-8103
NPI assigned
Oct 24, 2019
Last updated
Oct 24, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

30991 Via Estenaga
San Juan Capistrano, CA 92675-2933

Mailing address

3186 Airway Ave Ste a
Costa Mesa, CA 92626-4650
Phone (714) 881-0427

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

NPI Registry JSON

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1427691260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3186 AIRWAY AVE STE A",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264650",
            "telephone_number": "714-881-0427",
            "fax_number": "714-327-0673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30991 VIA ESTENAGA",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926752933",
            "telephone_number": "949-357-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGLINN",
        "first_name": "JOHN",
        "middle_name": "STROTHER",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-24",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.