Active NPI
Clarissa Renteria
- Behavior Technician
- La Mesa, CA
National Provider Identifier
1750170403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 4700 Spring St Ste 104
La Mesa, CA 91942-0272 - Phone
- (619) 782-0700
- NPI assigned
- Apr 30, 2025
- 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 Technician | 106S00000X | CA | Primary |
Addresses
Primary practice location
4700 Spring St Ste 104
La Mesa, CA 91942-0272
Mailing address
8030 La Mesa Blvd Ste 25
La Mesa, CA 91942-0335
Phone (619) 782-0700
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 |
|---|---|---|---|
| San Diego Applied Behavior Analysis , 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.
-
- Behavior Analyst
- La Mesa, CA
- NPI 1598394223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781222400000",
"number": "1750170403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8030 LA MESA BLVD STE 25",
"city": "LA MESA",
"state": "CA",
"postal_code": "919420335",
"telephone_number": "619-782-0700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 SPRING ST STE 104",
"city": "LA MESA",
"state": "CA",
"postal_code": "919420272",
"telephone_number": "619-782-0700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENTERIA",
"first_name": "CLARISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-30",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Mesa, CA
- Reliable Medical Transport
- Reliable Medical Transport
- Lee Hyland Remington-Boone, M.D.
- Zhixian Ren
- William A. Renert, M.D.
- Lyndsey Restelli, MSN, RN, CPNP-PC
- Retina Institute of California
- Retina Institute of California Medical Group, a California Medical Par
- Retina Institute of California Medical Group, a California Medical Par
- Carmen Rebeca Reyes, P.T.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.