Individual provider Active NPI

Anthony Isaiah Escarcega, RBT

  • Behavior Technician
  • Van Nuys, CA
National Provider Identifier
1710626999
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
BACB544401 Issued in CA
Practice address
16600 Sherman Way Ste 178
Van Nuys, CA 91406-3875
Phone
(818) 235-1414
NPI assigned
Jun 3, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X BACB544401 CA Primary

Addresses

Primary practice location

16600 Sherman Way Ste 178
Van Nuys, CA 91406-3875

Mailing address

1425 N Los Robles Ave Apt 10
Pasadena, CA 91104-2142
Phone (626) 692-2121

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

LicenseStateTypeSpecialty
BACB544401CAMDBehavior Technician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1710626999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 N LOS ROBLES AVE APT 10",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911042142",
            "telephone_number": "626-692-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16600 SHERMAN WAY STE 178",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063875",
            "telephone_number": "818-235-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCARCEGA",
        "first_name": "ANTHONY",
        "middle_name": "ISAIAH",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-03",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "BACB544401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.