Active NPI
Rafael Everardo Cortez
- Behavior Technician
- Madera, CA
National Provider Identifier
1578287785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 955 Emily Way Apt C
Madera, CA 93637-5739 - Phone
- (559) 232-8716
- NPI assigned
- Sep 30, 2022
- Sex
- Male
- Sole proprietor
- Yes
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
955 Emily Way Apt C
Madera, CA 93637-5739
Mailing address
7339 N 1St St Ste 105&110
Fresno, CA 93720-2954
Phone (916) 740-1749
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": "1664496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664496000000",
"number": "1578287785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7339 N 1ST ST STE 105&110",
"city": "FRESNO",
"state": "CA",
"postal_code": "937202954",
"telephone_number": "916-740-1749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 EMILY WAY APT C",
"city": "MADERA",
"state": "CA",
"postal_code": "936375739",
"telephone_number": "559-232-8716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORTEZ",
"first_name": "RAFAEL",
"middle_name": "EVERARDO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-30",
"last_updated": "2022-09-30",
"certification_date": "2022-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.