Active NPI
Jan Richel Comeros Del Castillo
- Behavior Analyst
- Palmdale, CA
National Provider Identifier
1760998561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BACB290344
- Practice address
- 624 Commerce Ave Ste E
Palmdale, CA 93551-3883 - Phone
- (661) 942-9135
- NPI assigned
- Dec 17, 2017
- Last updated
- Dec 17, 2017
- Sex
- Male
- 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 | BACB290344 | CA | Primary |
Addresses
Primary practice location
624 Commerce Ave Ste E
Palmdale, CA 93551-3883
Mailing address
841 E Jackman St
Lancaster, CA 93535-2644
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 |
|---|---|---|---|
| BACB290344 | CA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Psychcare, Inc. | Behavior Analyst | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513468800000",
"number": "1760998561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "841 E JACKMAN ST",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935352644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 COMMERCE AVE STE E",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935513883",
"telephone_number": "661-942-9135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEL CASTILLO",
"first_name": "JAN RICHEL",
"middle_name": "COMEROS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-17",
"last_updated": "2017-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "BACB290344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.