Active NPI
Kristine Angerer
- Behavior Technician
- Newport Beach, CA
National Provider Identifier
1699206342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1601 W Balboa Blvd
Newport Beach, CA 92663-4527 - Phone
- (949) 723-2388
- NPI assigned
- Mar 24, 2017
- Sex
- Female
- 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 | Primary |
Addresses
Primary practice location
1601 W Balboa Blvd
Newport Beach, CA 92663-4527
Mailing address
1056 Grand Ave
Long Beach, CA 90804-4075
Phone (562) 331-4723
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 |
|---|---|---|---|
| Ocean Recovery, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Substance Abuse Rehabilitation Facility
- Newport Beach, CA
- NPI 1558657809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490313600000",
"number": "1699206342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1056 GRAND AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908044075",
"telephone_number": "562-331-4723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 W BALBOA BLVD",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926634527",
"telephone_number": "949-723-2388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGERER",
"first_name": "KRISTINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-24",
"last_updated": "2017-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.