Active NPI
Gardenia Cabrera
- Behavior Analyst
- South San Francisco, CA
National Provider Identifier
1710489943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- RBT-18-49717
- Practice address
- 821 Cypress Ave
South San Francisco, CA 94080-2840 - Phone
- (650) 686-0523
- NPI assigned
- Mar 4, 2018
- 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 | RBT-18-49717 | CA | Primary |
Addresses
Primary practice location
821 Cypress Ave
South San Francisco, CA 94080-2840
Mailing address
1603A S Main St
Milpitas, CA 95035-6261
Phone (408) 913-5019
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 |
|---|---|---|---|
| RBT-18-49717 | CA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BCT, 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.
-
- Case Manager/Care Coordinator
- Concord, CA
- NPI 1063942472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520121600000",
"number": "1710489943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1603A S MAIN ST",
"city": "MILPITAS",
"state": "CA",
"postal_code": "950356261",
"telephone_number": "408-913-5019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 CYPRESS AVE",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940802840",
"telephone_number": "650-686-0523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABRERA",
"first_name": "GARDENIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-04",
"last_updated": "2018-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "RBT-18-49717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.