Individual provider Active NPI

Robin Ivan Hernandez Alvarado

  • Behavior Technician
  • Long Beach, CA
National Provider Identifier
1629788674
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1124 E Pacific Coast Hwy Unit A111
Long Beach, CA 90806-5102
Phone
(949) 474-1493
NPI assigned
Nov 30, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

1124 E Pacific Coast Hwy Unit A111
Long Beach, CA 90806-5102

Mailing address

3652 Michelson Dr
Irvine, CA 92612-1727
Phone (949) 474-1493

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": "1669766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1629788674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3652 MICHELSON DR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926121727",
            "telephone_number": "949-474-1493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 E PACIFIC COAST HWY UNIT A111",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908065102",
            "telephone_number": "949-474-1493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ ALVARADO",
        "first_name": "ROBIN",
        "middle_name": "IVAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-30",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

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

Verify at the official NPI Registry.