Active NPI
Jaimee Daphne Borja Masilang
- Behavior Technician
- Fairfield, CA
National Provider Identifier
1710551684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB663006
- Practice address
- 801 Jefferson St Ste 4
Fairfield, CA 94533-5557 - Phone
- (855) 223-7123
- Fax
- (619) 550-6368
- NPI assigned
- May 16, 2021
- Last updated
- Jan 19, 2022
- 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 | BACB663006 | CA | Primary |
Addresses
Primary practice location
801 Jefferson St Ste 4
Fairfield, CA 94533-5557
Mailing address
16782 Von Karman Ave Ste 11
Irvine, CA 92606-2417
Phone (855) 223-7123
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 |
|---|---|---|---|
| BACB663006 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642550400000",
"number": "1710551684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16782 VON KARMAN AVE STE 11",
"city": "IRVINE",
"state": "CA",
"postal_code": "926062417",
"telephone_number": "855-223-7123",
"fax_number": "619-550-6368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 JEFFERSON ST STE 4",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945335557",
"telephone_number": "855-223-7123",
"fax_number": "619-550-6368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASILANG",
"first_name": "JAIMEE DAPHNE",
"middle_name": "BORJA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-16",
"last_updated": "2022-01-19",
"certification_date": "2022-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "BACB663006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.