Individual provider Active NPI

Magali Velasco Iglesias

  • Behavior Technician
  • Cypress, CA
National Provider Identifier
1770048662
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
1734808 Issued in CA
Practice address
9432 Valley View St Apt D
Cypress, CA 90630-3336
Phone
(714) 305-9078
NPI assigned
Feb 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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 1734808 CA Primary

Addresses

Primary practice location

9432 Valley View St Apt D
Cypress, CA 90630-3336

Mailing address

9432 Valley View St Apt D
Cypress, CA 90630-3336
Phone (714) 305-9078

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
1734808CAMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1770048662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9432 VALLEY VIEW ST APT D",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906303336",
            "telephone_number": "714-305-9078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9432 VALLEY VIEW ST APT D",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906303336",
            "telephone_number": "714-305-9078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELASCO IGLESIAS",
        "first_name": "MAGALI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "1734808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.