Active NPI
Robert Williams
- Behavior Technician
- Cerritos, CA
National Provider Identifier
1487123683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 16410 Bloomfield Ave Ste B
Cerritos, CA 90703 - Phone
- (562) 760-4429
- NPI assigned
- Nov 16, 2018
- Last updated
- May 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
16410 Bloomfield Ave Ste B
Cerritos, CA 90703
Mailing address
16782 Von Karman Ave Ste 11
Irvine, CA 92606-2417
Phone (949) 833-2237
Other practice location 1
9901 Artesia Blvd
Bellflower, CA 90706-6713
Phone (562) 866-2169
Other practice location 2
9901 Artesia Blvd
Bellflower, CA 90706-6713
Phone (562) 866-2169
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00-0011524161 | Other | CA | KAISER PERMANENTE |
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": "1542326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557187200000",
"number": "1487123683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16782 VON KARMAN AVE STE 11",
"city": "IRVINE",
"state": "CA",
"postal_code": "926062417",
"telephone_number": "949-833-2237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16410 BLOOMFIELD AVE STE B",
"city": "CERRITOS",
"state": "CA",
"postal_code": "90703",
"telephone_number": "562-760-4429"
}
],
"practiceLocations": [
{
"address_1": "9901 Artesia Blvd",
"address_purpose": "LOCATION",
"city": "Bellflower",
"state": "CA",
"postal_code": "907066713",
"country_code": "US",
"telephone_number": "562-866-2169",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9901 Artesia Blvd",
"address_purpose": "LOCATION",
"city": "Bellflower",
"state": "CA",
"postal_code": "907066713",
"country_code": "US",
"telephone_number": "562-866-2169",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "ROBERT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-16",
"last_updated": "2019-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER PERMANENTE",
"identifier": "00-0011524161",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cerritos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.