Christian Ivie

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

3152 Red Hill Ave Ste 100
Costa Mesa, CA 92626-3418

Phone

(714) 881-0427

NPI assigned

Aug 7, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502064000000",
    "number": "1467977942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5944 BIG PINE DR",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923364556",
            "telephone_number": "909-684-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3152 RED HILL AVE STE 100",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263418",
            "telephone_number": "714-881-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVIE",
        "first_name": "CHRISTIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-07",
        "last_updated": "2017-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Ito, PT
• Shizue Hayashi Ito, L.AC.
• Kouichi Itoh, D.D.S.
• Suzanne Lee Itrich, OTR/L
• Alan Craig Ivar, DC
• Cynthia Iwanicki, OTR
• Steven Izumi, MD
• J Randall Miller Chiropractic Corporation
• Richard Jacildo
• Deanna Daniels Jacinto, LMFT

• Behavior Analyst in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2017; 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.