Individual provider Active NPI

Vilaivan Xiong, BCBA

  • Behavior Analyst
  • El Dorado Hills, CA
National Provider Identifier
1568910685
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
8939 Issued in CA
Practice address
881 Embarcadero Dr Ste 1
El Dorado Hills, CA 95762-4092
Phone
(916) 841-5079
NPI assigned
Sep 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 8939 CA Primary

Addresses

Primary practice location

881 Embarcadero Dr Ste 1
El Dorado Hills, CA 95762-4092

Mailing address

5931 Wilkinson St
Sacramento, CA 95824-3341
Phone (559) 862-9124

Other practice location 1

9176 Schmuckly Dr
Apt 9
Sacramento, CA 95826-5358
Phone (559) 862-9124

Other practice location 2

3333 Vaca Valley Pkwy Ste 900
Vacaville, CA 95688-9419
Phone (209) 923-3323

Other identifiers 2

IdentifierTypeStateIssuer
1-15-32354OtherBCBA
8939OtherCAQABA

Other names 1

  • Vilaivan Yang Former name

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

LicenseStateTypeSpecialty
8939CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Slug House, LLC Current 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.

NPI Registry JSON

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

{
    "created_epoch": "1474156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1568910685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5931 WILKINSON ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958243341",
            "telephone_number": "559-862-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 EMBARCADERO DR STE 1",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957624092",
            "telephone_number": "916-841-5079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9176 Schmuckly Dr",
            "address_2": "Apt 9",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958265358",
            "country_code": "US",
            "telephone_number": "559-862-9124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3333 Vaca Valley Pkwy Ste 900",
            "address_purpose": "LOCATION",
            "city": "Vacaville",
            "state": "CA",
            "postal_code": "956889419",
            "country_code": "US",
            "telephone_number": "209-923-3323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "XIONG",
        "first_name": "VILAIVAN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-18",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "8939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA",
            "identifier": "1-15-32354",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QABA",
            "identifier": "8939",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VILAIVAN",
            "last_name": "YANG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in El Dorado Hills, CA

Sources for this page

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