Active NPI
Shital Vaibhav Tekale
- Behavior Technician
- San Jose, CA
National Provider Identifier
1477058014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 75 E Santa Clara St
San Jose, CA 95113-1827 - Phone
- (866) 227-1211
- NPI assigned
- Mar 27, 2018
- 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
75 E Santa Clara St
San Jose, CA 95113-1827
Mailing address
1540 Ivycreek Cir
San Jose, CA 95121-1829
Phone (408) 831-8503
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": "1522108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522108800000",
"number": "1477058014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 IVYCREEK CIR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951211829",
"telephone_number": "408-831-8503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 E SANTA CLARA ST",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951131827",
"telephone_number": "866-227-1211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEKALE",
"first_name": "SHITAL",
"middle_name": "VAIBHAV",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-27",
"last_updated": "2018-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.