Active NPI
Jordan Silverman
- Behavior Technician
- Redondo Beach, CA
National Provider Identifier
1457852261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 371471
- Practice address
- 1200 Aviation Blvd
Redondo Beach, CA 90278-4064 - Phone
- (310) 266-5109
- NPI assigned
- Feb 27, 2018
- Sex
- Male
- Sole proprietor
- No
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 | 371471 | CA | Primary |
Addresses
Primary practice location
1200 Aviation Blvd
Redondo Beach, CA 90278-4064
Mailing address
1541 Steinhart Ave
Redondo Beach, CA 90278
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 |
|---|---|---|---|
| 371471 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519862400000",
"number": "1457852261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1541 STEINHART AVE",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "90278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 AVIATION BLVD",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902784064",
"telephone_number": "310-266-5109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILVERMAN",
"first_name": "JORDAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-27",
"last_updated": "2018-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "371471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redondo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.