Active NPI
Gillian Gong
- Behavior Analyst
- Merced, CA
National Provider Identifier
1669243382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-23-70190
- Practice address
- 1160 W Olive Ave
Ste C/E
Merced, CA 95348 - Phone
- (559) 492-7900
- Fax
- (559) 570-0222
- NPI assigned
- Jan 11, 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 Analyst | 103K00000X | 1-23-70190 | CA | Primary |
Addresses
Primary practice location
1160 W Olive Ave
Ste C/E
Merced, CA 95348
Mailing address
5132 N Palm Ave
PMB 303
Fresno, CA 93704
Phone (559) 492-7900
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Autism Center, Inc. | Behavior Analyst | Current | Accepting new patients |
| California Psychcare, Inc. | Behavior Analyst | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Behavior Analyst
- Fresno, CA
- NPI 1871915678
-
- Behavior Analyst
- Van Nuys, CA
- NPI 1811289150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704931200000",
"number": "1669243382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5132 N PALM AVE",
"address_2": "PMB 303",
"city": "FRESNO",
"state": "CA",
"postal_code": "93704",
"telephone_number": "559-492-7900",
"fax_number": "559-570-0222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 W OLIVE AVE",
"address_2": "STE C/E",
"city": "MERCED",
"state": "CA",
"postal_code": "95348",
"telephone_number": "559-492-7900",
"fax_number": "559-570-0222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONG",
"first_name": "GILLIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-11",
"last_updated": "2024-01-11",
"certification_date": "2024-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-23-70190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.