Damon W Boren

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

17595 Almahurst St
City of Industry, CA 91748-1779

Phone

(626) 344-4434

NPI assigned

Feb 19, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Fields Comp. Youth Services Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Upland, CA
  • NPI 1992345193
  NPD (past)
• Fields Comp. Youth Services, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Upland, CA
  • NPI 1881146421
  NPD (past)

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1508322108",
    "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": "17595 ALMAHURST ST",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917481779",
            "telephone_number": "626-344-4434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1214 Eddington St",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917863440",
            "country_code": "US",
            "telephone_number": "909-931-1137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOREN",
        "first_name": "DAMON",
        "middle_name": "W",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-19",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255R0406X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Rehabilitation, Blind",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mario Betanco
• Beverly Oncology Multispecialty Group Medcial Corporation
• Priyanka S Bhanot, M.D.
• Megan Bibal
• Kristen Borboa
• Elise Bosshardt
• Lisa Braga
• Jazmin Brambila
• Bright Eye Care
• Holly Linqian Brill, LMFT

• Behavior Technician in City of Industry, CA
• Providers in City of Industry, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.