Active NPI
Jillian Lee Zambrano
- Behavior Technician
- Gardena, CA
National Provider Identifier
1659060523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- XXXXXXXX
- Practice address
- 1149 W. 190TH Street
Suite 2200
Gardena, CA 90248 - Phone
- (310) 856-0800
- NPI assigned
- May 4, 2023
- Last updated
- May 4, 2023
- 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 | XXXXXXXX | CA | Primary |
Addresses
Primary practice location
1149 W. 190TH Street
Suite 2200
Gardena, CA 90248
Mailing address
2216 Pullman LN Unit B
Redondo Beach, CA 90278-5020
Phone (310) 400-4671
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 |
|---|---|---|---|
| XXXXXXXX | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683158400000",
"number": "1659060523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2216 PULLMAN LN UNIT B",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902785020",
"telephone_number": "310-400-4671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1149 W. 190TH STREET",
"address_2": "SUITE 2200",
"city": "GARDENA",
"state": "CA",
"postal_code": "90248",
"telephone_number": "310-856-0800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAMBRANO",
"first_name": "JILLIAN",
"middle_name": "LEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-04",
"last_updated": "2023-05-04",
"certification_date": "2023-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "XXXXXXXX",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.