Andrew James Archibeque

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

Y9146014 Issued in CA

Practice address

15708 Pomerado Rd Ste 102
Poway, CA 92064-2035

Phone

(858) 746-5566

NPI assigned

Sep 17, 2019

Last updated

Sep 17, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1528618949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 OXNARD ST",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913674976",
            "telephone_number": "818-345-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15708 POMERADO RD STE 102",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642035",
            "telephone_number": "858-746-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHIBEQUE",
        "first_name": "ANDREW",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-17",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "Y9146014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Aragon
• Alondra Arce-Rosas
• Arch Health Partners
• Arch Health Partners, Inc (Palomar Health Medical Group)
• Arch Health Partners, Inc (Arch Health Medical Group)
• Sarahy Arenas la Rue
• Heather Armstrong
• Jessica Armstrong
• Patrick Andrew Armstrong, M.D.
• Michele Mary Arnold, L.AC,

• Behavior Technician in Poway, CA
• Providers in Poway, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.

Verify at the official NPI Registry.