Active NPI
Julia Rodrigues
- Behavior Analyst
- Oakland, CA
National Provider Identifier
1750819058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 4235 Montgomery St Apt C
Oakland, CA 94611-4727 - Phone
- (530) 383-9130
- NPI assigned
- May 31, 2017
- 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 | CA | Primary |
Addresses
Primary practice location
4235 Montgomery St Apt C
Oakland, CA 94611-4727
Mailing address
4235 Montgomery St Apt C
Oakland, CA 94611-4727
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46-1741898 | Other | CA | KIDS OVERCOMING, LLC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496188800000",
"number": "1750819058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4235 MONTGOMERY ST APT C",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946114727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4235 MONTGOMERY ST APT C",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946114727",
"telephone_number": "530-383-9130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUES",
"first_name": "JULIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-31",
"last_updated": "2017-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KIDS OVERCOMING, LLC",
"identifier": "46-1741898",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.