Individual provider Active NPI

Bianca Victoria Marie Chayrez

  • Behavior Technician
  • Citrus Heights, CA
National Provider Identifier
1568958478
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
5620 Birdcage St Ste 230
Citrus Heights, CA 95610-7632
Phone
(415) 748-8052
NPI assigned
Jul 3, 2018
Last updated
Jul 3, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

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 NU Primary

Addresses

Primary practice location

5620 Birdcage St Ste 230
Citrus Heights, CA 95610-7632

Mailing address

12499 Folsom Blvd Apt 21
Rancho Cordova, CA 95742-6424
Phone (209) 496-2533

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": "1530576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530576000000",
    "number": "1568958478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12499 FOLSOM BLVD APT 21",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "957426424",
            "telephone_number": "209-496-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 BIRDCAGE ST STE 230",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956107632",
            "telephone_number": "415-748-8052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAYREZ",
        "first_name": "BIANCA",
        "middle_name": "VICTORIA MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-03",
        "last_updated": "2018-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Citrus Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; 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.