Individual provider Active NPI

Gilbert Joseph Menchaca, BCBA

  • Behavior Analyst
  • Los Angeles, CA
National Provider Identifier
1568958387
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-18-30959 Issued in CA
Practice address
5967 W 3Rd St Ste 200
Los Angeles, CA 90036-2835
Phone
(323) 745-5800
NPI assigned
Jul 4, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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 1-18-30959 CA Primary

Addresses

Primary practice location

5967 W 3Rd St Ste 200
Los Angeles, CA 90036-2835

Mailing address

11115 Aqua Vista St Apt 306
North Hollywood, CA 91602-3722
Phone (323) 379-8400

Other practice location 1

100 Hay St Ste 704
Fayetteville, NC 28301-5665
Phone (323) 379-8400

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

Practice roles

OrganizationSpecialtyStatusNew patients
Autism Believe Accept Therapy Services CurrentSince Aug 1, 2020 Accepting new patients

Locations

5967 W 3rd St
Ste 200
Los Angeles, CA 90036
Phone (323) 745-5800

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": "1530662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1568958387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11115 AQUA VISTA ST APT 306",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916023722",
            "telephone_number": "323-379-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5967 W 3RD ST STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900362835",
            "telephone_number": "323-745-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Hay St Ste 704",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283015665",
            "country_code": "US",
            "telephone_number": "323-379-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENCHACA",
        "first_name": "GILBERT",
        "middle_name": "JOSEPH",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-04",
        "last_updated": "2024-07-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-18-30959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.