Individual provider Active NPI

Elizabeth Ashley Rangel

  • Behavior Technician
  • City of Industry, CA
National Provider Identifier
1497320022
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
13200 Crossroads Pkwy N Ste 335
City of Industry, CA 91746-3485
Phone
(562) 821-1491
NPI assigned
May 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

13200 Crossroads Pkwy N Ste 335
City of Industry, CA 91746-3485

Mailing address

420 Ferrara CT Apt 108
Phillips Ranch, CA 91766-0957
Phone (909) 367-0740

Other practice location 1

2550 E Riverside Dr Apt 110
Ontario, CA 91761-7377
Phone (909) 367-0740

Other identifiers 1

IdentifierTypeStateIssuer
10916719OtherCAKAISER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Elizabeth.rangel9@icloud.com

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heredia Family Therapy, Inc CurrentSince May 14, 2023 Accepting new patients
Heredia Family Therapy, Inc CurrentSince May 14, 2023 Accepting new patients

Locations

13200 Crossroads Pkwy N
Ste 335
City of Industry, CA 91746
Phone (562) 556-1493

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1497320022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 FERRARA CT APT 108",
            "city": "PHILLIPS RANCH",
            "state": "CA",
            "postal_code": "917660957",
            "telephone_number": "909-367-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13200 CROSSROADS PKWY N STE 335",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917463485",
            "telephone_number": "562-821-1491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2550 E Riverside Dr Apt 110",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917617377",
            "country_code": "US",
            "telephone_number": "909-367-0740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANGEL",
        "first_name": "ELIZABETH",
        "middle_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "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",
            "identifier": "10916719",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Elizabeth.rangel9@icloud.com",
            "affiliation": "N",
            "address_1": "2550 E Riverside Dr Apt 110",
            "city": "Ontario",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917617377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in City of Industry, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.