Active NPI
Atobatele Thomas-Adeyemo
- Behavior Technician
- Long Beach, CA
National Provider Identifier
1467925941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- Y3312970
- Practice address
- 3491 Elm Ave
Long Beach, CA 90807-4430 - Phone
- (323) 879-4951
- NPI assigned
- Jan 7, 2019
- 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 | Y3312970 | CA | Primary |
Addresses
Primary practice location
3491 Elm Ave
Long Beach, CA 90807-4430
Mailing address
21600 Oxnard St
Woodland Hills, CA 91367-4976
Phone (818) 344-2345
Other practice location 1
3491 Elm Ave
Long Beach, CA 90807-4430
Phone (323) 879-4951
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 |
|---|---|---|---|
| Y3312970 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546819200000",
"number": "1467925941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21600 OXNARD ST",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913674976",
"telephone_number": "818-344-2345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3491 ELM AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908074430",
"telephone_number": "323-879-4951"
}
],
"practiceLocations": [
{
"address_1": "3491 Elm Ave",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908074430",
"country_code": "US",
"telephone_number": "323-879-4951",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS-ADEYEMO",
"first_name": "ATOBATELE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-07",
"last_updated": "2019-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "Y3312970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.