NPIMap

Individual provider Active NPI

Magaly Perez

  • Behavior Analyst
  • Newhall, CA
National Provider Identifier
1629682711
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-43903 Issued in CA
Practice address
23030 Lyons Ave Ste 102
Newhall, CA 91321-2755
Phone
(661) 425-7066
Fax
(805) 299-4505
NPI assigned
Sep 4, 2020
Last updated
Sep 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-20-43903 CA Primary

Addresses

Primary practice location

23030 Lyons Ave Ste 102
Newhall, CA 91321-2755

Mailing address

23030 Lyons Ave Ste 102
Newhall, CA 91321-2755
Phone (661) 425-7066

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vista Psychological Center, Inc CurrentSince Sep 6, 2020 Accepting new patients
Vista Psychological Center Inc Behavior Analyst CurrentSince Sep 6, 2020 Accepting new patients

Locations

23030 Lyons Ave
Ste 102
Newhall, CA 91321
Phone (661) 425-7066

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1629682711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23030 LYONS AVE STE 102",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212755",
            "telephone_number": "661-425-7066",
            "fax_number": "805-299-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23030 LYONS AVE STE 102",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212755",
            "telephone_number": "661-425-7066",
            "fax_number": "805-299-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "MAGALY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-20-43903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newhall, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.

Verify at the official NPI Registry.