Active NPI
Christina Desiere
- Behavior Analyst
- South Pasadena, CA
National Provider Identifier
1538545504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-19-36363
- Practice address
- 625 Fair Oaks Ave
Suite 300
South Pasadena, CA 91030-2630 - Phone
- (323) 341-5580
- NPI assigned
- Jul 31, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 10006844 | CA | |
| Behavior Analyst | 103K00000X | 1-19-36363 | CA | Primary |
Addresses
Primary practice location
625 Fair Oaks Ave
Suite 300
South Pasadena, CA 91030-2630
Mailing address
4517 W 16TH PL Apt 2
Los Angeles, CA 90019-5164
Phone (818) 809-6895
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 |
|---|---|---|---|
| 10006844 | CA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Education Solutions Inc | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Medical Specialty Clinic/Center
- Los Angeles, CA
- NPI 1659535052
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563235200000",
"number": "1538545504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4517 W 16TH PL APT 2",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900195164",
"telephone_number": "818-809-6895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 FAIR OAKS AVE",
"address_2": "SUITE 300",
"city": "SOUTH PASADENA",
"state": "CA",
"postal_code": "910302630",
"telephone_number": "323-341-5580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESIERE",
"first_name": "CHRISTINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-31",
"last_updated": "2019-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "10006844",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-19-36363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.