Active NPI
Andrea Guadalupe Reyes Solorio
- Behavior Technician
- Oakland, CA
National Provider Identifier
1508405531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 2233 84TH Ave Apt B
Oakland, CA 94605-3490 - Phone
- (510) 878-0954
- NPI assigned
- Dec 20, 2019
- 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 | Primary |
Addresses
Primary practice location
2233 84TH Ave Apt B
Oakland, CA 94605-3490
Mailing address
2233 84TH Ave Apt B
Oakland, CA 94605-3490
Phone (510) 878-0954
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0123 | Other | N/A |
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": "1576800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576800000000",
"number": "1508405531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2233 84TH AVE APT B",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946053490",
"telephone_number": "510-878-0954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2233 84TH AVE APT B",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946053490",
"telephone_number": "510-878-0954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES SOLORIO",
"first_name": "ANDREA",
"middle_name": "GUADALUPE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-20",
"last_updated": "2019-12-20",
"certification_date": "2019-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/A",
"identifier": "0123",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.