NPIMap

Organization Active NPI

Sierra Madre Learning Center Total Programs, LLC

  • Behavior Analyst
  • Sierra Madre, CA
National Provider Identifier
1578829370
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-06-3013 Issued in CA
Legal business name
SIERRA MADRE LEARNING CENTER TOTAL PROGRAMS, LLC
Practice address
370 W Sierra Madre Blvd Ste B
Sierra Madre, CA 91024-2714
Phone
(626) 355-5160
Fax
(626) 355-5173
NPI assigned
Apr 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2012

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

Authorized official

Name
Dr. Sean Adam Surfas, LEP, BCBA-DNPI 1699031013
Title
Ceo
Phone
(626) 355-5160

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-06-3013 CA Primary

Addresses

Primary practice location

370 W Sierra Madre Blvd Ste B
Sierra Madre, CA 91024-2714

Mailing address

370 W Sierra Madre Blvd Ste B
Sierra Madre, CA 91024-2714
Phone (626) 355-5160

National Provider Directory

National Provider Directory
Tax ID family
Sierra Madre Learning Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1043 W Avenue M4
Ste C
Palmdale, CA 93551
Phone (661) 723-5600

370 W Sierra Madre Blvd
Ste B
Sierra Madre, CA 91024
Phone (626) 355-5160

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333584000000",
    "number": "1578829370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 W SIERRA MADRE BLVD STE B",
            "city": "SIERRA MADRE",
            "state": "CA",
            "postal_code": "910242714",
            "telephone_number": "626-355-5160",
            "fax_number": "626-355-5173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 W SIERRA MADRE BLVD STE B",
            "city": "SIERRA MADRE",
            "state": "CA",
            "postal_code": "910242714",
            "telephone_number": "626-355-5160",
            "fax_number": "626-355-5173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA MADRE LEARNING CENTER TOTAL PROGRAMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-05",
        "last_updated": "2012-04-05",
        "status": "A",
        "authorized_official_last_name": "SURFAS",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-355-5160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LEP, BCBA-D"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-06-3013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Madre, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.