Individual provider Active NPI

Ruth Sarai Zamudio-Rodriguez

  • Behavior Technician
  • San Jose, CA
National Provider Identifier
1538907787
Registry record updated Jul 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
3189 Cadillac Dr Apt 17
San Jose, CA 95117-4016
Phone
(408) 680-1518
NPI assigned
Jul 19, 2024
Last updated
Jul 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X CA Primary

Addresses

Primary practice location

3189 Cadillac Dr Apt 17
San Jose, CA 95117-4016

Mailing address

3189 Cadillac Dr Apt 17
San Jose, CA 95117-4016

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": "1721347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721520000000",
    "number": "1538907787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3189 CADILLAC DR APT 17",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951174016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3189 CADILLAC DR APT 17",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951174016",
            "telephone_number": "408-680-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMUDIO-RODRIGUEZ",
        "first_name": "RUTH",
        "middle_name": "SARAI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-19",
        "last_updated": "2024-07-21",
        "certification_date": "2024-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2024; 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.