Active NPI
Astrid Vera
- Behavior Technician
- Gridley, CA
National Provider Identifier
1447709944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 106S00000X
- Practice address
- 1065 Gridley Ave
Gridley, CA 95948-9727 - Phone
- (530) 693-1159
- NPI assigned
- Sep 25, 2016
- Last updated
- Sep 25, 2016
- Sex
- Female
- 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 Technician | 106S00000X | 106S00000X | CA | Primary |
Addresses
Primary practice location
1065 Gridley Ave
Gridley, CA 95948-9727
Mailing address
1065 Gridley Ave
Gridley, CA 95948-9727
Phone (530) 693-1159
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XEH903295007 | Other | CA | BLUE SHIELD OF CALIFORNIA |
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 |
|---|---|---|---|
| 106S00000X | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474761600000",
"number": "1447709944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1065 GRIDLEY AVE",
"city": "GRIDLEY",
"state": "CA",
"postal_code": "959489727",
"telephone_number": "530-693-1159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1065 GRIDLEY AVE",
"city": "GRIDLEY",
"state": "CA",
"postal_code": "959489727",
"telephone_number": "530-693-1159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERA",
"first_name": "ASTRID",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-25",
"last_updated": "2016-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "106S00000X",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CALIFORNIA",
"identifier": "XEH903295007",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gridley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.