Active NPI
Alexis Jimenez
- Behavior Technician
- Castro Valley, CA
National Provider Identifier
1497250526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-17-44197
- Practice address
- 20212 Redwood Rd
Castro Valley, CA 94546-4324 - Phone
- (510) 422-2090
- NPI assigned
- Mar 29, 2018
- Sex
- Female
- 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 | RBT-17-44197 | CA | Primary |
Addresses
Primary practice location
20212 Redwood Rd
Castro Valley, CA 94546-4324
Mailing address
516 Cartmell Way
Merced, CA 95341-6800
Phone (209) 628-5464
Other practice location 1
1 Crow Canyon Ct Ste 100
San Ramon, CA 94583-1641
Phone (209) 628-5464
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 |
|---|---|---|---|
| RBT-17-44197 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552262400000",
"number": "1497250526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 CARTMELL WAY",
"city": "MERCED",
"state": "CA",
"postal_code": "953416800",
"telephone_number": "209-628-5464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20212 REDWOOD RD",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945464324",
"telephone_number": "510-422-2090"
}
],
"practiceLocations": [
{
"address_1": "1 Crow Canyon Ct Ste 100",
"address_purpose": "LOCATION",
"city": "San Ramon",
"state": "CA",
"postal_code": "945831641",
"country_code": "US",
"telephone_number": "209-628-5464",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JIMENEZ",
"first_name": "ALEXIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-29",
"last_updated": "2019-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "RBT-17-44197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Castro Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.