Active NPI
Virginia Perez-Gonzalez
- Behavior Technician
- Oceanside, CA
National Provider Identifier
1629670054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-20-143200
- Practice address
- 3355 Mission Ave Ste 221
Oceanside, CA 92058-1328 - Phone
- (951) 813-4034
- NPI assigned
- Nov 10, 2020
- Last updated
- Nov 11, 2020
- Sex
- Female
- 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 | RBT-20-143200 | CA | Primary |
Addresses
Primary practice location
3355 Mission Ave Ste 221
Oceanside, CA 92058-1328
Mailing address
621 D St Unit 103
Chula Vista, CA 91910-1315
Phone (619) 362-6052
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-20-143200 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605052800000",
"number": "1629670054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 D ST UNIT 103",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919101315",
"telephone_number": "619-362-6052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3355 MISSION AVE STE 221",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920581328",
"telephone_number": "951-813-4034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ-GONZALEZ",
"first_name": "VIRGINIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-10",
"last_updated": "2020-11-11",
"certification_date": "2020-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "RBT-20-143200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.