Active NPI
Saul Nieves
- Behavior Technician
- Ontario, CA
National Provider Identifier
1689347163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- F5236956
- Practice address
- 3200 E Guasti Rd Ste 100
Ontario, CA 91761-8661 - Phone
- (909) 240-1764
- Fax
- (909) 259-2369
- NPI assigned
- Jul 29, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | F5236956 | CA | Primary |
Addresses
Primary practice location
3200 E Guasti Rd Ste 100
Ontario, CA 91761-8661
Mailing address
3200 E Guasti Rd Ste 100
Ontario, CA 91761-8661
Phone (909) 240-1764
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 |
|---|---|---|---|
| F5236956 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627516800000",
"number": "1689347163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 E GUASTI RD STE 100",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917618661",
"telephone_number": "909-240-1764",
"fax_number": "909-259-2369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 E GUASTI RD STE 100",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917618661",
"telephone_number": "909-240-1764",
"fax_number": "909-259-2369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEVES",
"first_name": "SAUL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-29",
"last_updated": "2021-07-29",
"certification_date": "2021-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "F5236956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.