NPIMap

Organization Active NPI

Mebe San Francisco, LLC

Doing business as MeBe Bay Area

  • Behavior Analyst
  • Santa Clara, CA
National Provider Identifier
1619513892
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MEBE SAN FRANCISCO, LLC
Doing business as
MeBe Bay Area
Practice address
4701 Patrick Henry Dr BLDG 25
Santa Clara, CA 95054-1863
Phone
(619) 795-9925
Fax
(877) 602-5087
NPI assigned
Nov 21, 2019
Last updated
Mar 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Authorized official

Name
Mr. Abby Bunt
Title
Executive Clinical Director
Phone
(619) 795-9925

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

4701 Patrick Henry Dr BLDG 25
Santa Clara, CA 95054-1863

Mailing address

8885 Rio San Diego Dr Ste 340
San Diego, CA 92108-1669
Phone (619) 795-9925

Other practice location 1

89 Fairview Plz
Los Gatos, CA 95030-5817
Phone (619) 795-9925

Other names 1

  • MeBe Bay Area Doing business as

National Provider Directory

National Provider Directory

Locations

13980 Blossom Hill Rd
Los Gatos, CA 95032
Phone (408) 445-8400

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1619513892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8885 RIO SAN DIEGO DR STE 340",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081669",
            "telephone_number": "619-795-9925",
            "fax_number": "877-602-5087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 PATRICK HENRY DR BLDG 25",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950541863",
            "telephone_number": "619-795-9925",
            "fax_number": "877-602-5087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "89 Fairview Plz",
            "address_purpose": "LOCATION",
            "city": "Los Gatos",
            "state": "CA",
            "postal_code": "950305817",
            "country_code": "US",
            "telephone_number": "619-795-9925",
            "fax_number": "877-602-5087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEBE SAN FRANCISCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-21",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "BUNT",
        "authorized_official_first_name": "ABBY",
        "authorized_official_title_or_position": "EXECUTIVE CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "619-795-9925",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MeBe Bay Area",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.

Verify at the official NPI Registry.