Active NPI
Grecia Toledo Jaimes
- Behavior Technician
- Landers, CA
National Provider Identifier
1629813191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB685444
- Practice address
- 951 Alta Ave
Landers, CA 92285-3135 - Phone
- (760) 623-2976
- NPI assigned
- Jun 27, 2024
- Last updated
- Jun 27, 2024
- Sex
- Female
- Sole proprietor
- No
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 | BACB685444 | CA | Primary |
Addresses
Primary practice location
951 Alta Ave
Landers, CA 92285-3135
Mailing address
951 Alta Ave
Landers, CA 92285-3135
Phone (760) 623-2976
Other names 1
- Grecia Hernandez Toledo
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 |
|---|---|---|---|
| BACB685444 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1629813191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "951 ALTA AVE",
"city": "LANDERS",
"state": "CA",
"postal_code": "922853135",
"telephone_number": "760-623-2976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "951 ALTA AVE",
"city": "LANDERS",
"state": "CA",
"postal_code": "922853135",
"telephone_number": "760-623-2976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLEDO JAIMES",
"first_name": "GRECIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-27",
"last_updated": "2024-06-27",
"certification_date": "2024-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "BACB685444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GRECIA",
"last_name": "HERNANDEZ TOLEDO",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Landers, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.