Active NPI
Angel Martin Estrada Guzman
- Behavior Technician
- Long Beach, CA
National Provider Identifier
1538938048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 5416 E Oleta St
Long Beach, CA 90815-4428 - Phone
- (818) 447-2431
- NPI assigned
- Dec 26, 2023
- Sex
- Male
- 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
5416 E Oleta St
Long Beach, CA 90815-4428
Mailing address
18437 Collins Street Apt 36
Tarzana, CA 91356
Phone (818) 447-2431
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 236 | Medicaid | DC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | securerecords.sanford.html |
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": "1703548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703548800000",
"number": "1538938048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18437 COLLINS STREET APT 36",
"city": "TARZANA",
"state": "CA",
"postal_code": "91356",
"telephone_number": "818-447-2431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5416 E OLETA ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908154428",
"telephone_number": "818-447-2431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTRADA GUZMAN",
"first_name": "ANGEL",
"middle_name": "MARTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-12-26",
"last_updated": "2023-12-26",
"certification_date": "2023-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "236",
"state": "DC"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "securerecords.sanford.html",
"affiliation": "N",
"address_1": "5416 E Oleta St",
"city": "Long Beach",
"state": "CA",
"country_code": "US",
"postal_code": "908154428",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.