Active NPI
Mallika Chimpiri
- Behavior Technician
- Gardena, CA
National Provider Identifier
1467187591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1411 W 190TH St
Gardena, CA 90248-4324 - Phone
- (310) 719-3908
- NPI assigned
- Jul 21, 2022
- 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 | Primary |
Addresses
Primary practice location
1411 W 190TH St
Gardena, CA 90248-4324
Mailing address
10982 Roebling Ave Apt 316
Los Angeles, CA 90024-2736
Phone (770) 377-0803
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mchimpiri@g.ucla.edu |
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": "1658361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1467187591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10982 ROEBLING AVE APT 316",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900242736",
"telephone_number": "770-377-0803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 W 190TH ST",
"city": "GARDENA",
"state": "CA",
"postal_code": "902484324",
"telephone_number": "310-719-3908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIMPIRI",
"first_name": "MALLIKA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-21",
"last_updated": "2022-07-21",
"certification_date": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mchimpiri@g.ucla.edu",
"affiliation": "N",
"endpointDescription": "Work Email",
"address_1": "1411 W 190th St",
"city": "Gardena",
"state": "CA",
"country_code": "US",
"postal_code": "902484324",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.