NPIMap

Organization Active NPI

Easter Seals Bay Area

  • Behavior Analyst
  • Santa Rosa, CA
National Provider Identifier
1780048421
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
EASTER SEALS BAY AREA
Practice address
160 Wikiup Drive, Suite 102
Santa Rosa, CA 95403
Phone
(707) 843-3745
NPI assigned
Apr 8, 2016
Last updated
Nov 5, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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

Authorized official

Name
Susan Armiger
Title
President and Ceo
Phone
(925) 266-8400

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X CA
Speech-Language Pathologist 235Z00000X CA
Behavior Analyst 103K00000X CA Primary

Addresses

Primary practice location

160 Wikiup Drive, Suite 102
Santa Rosa, CA 95403

Mailing address

2730 Shadelands Drive, BLDG. 10
Walnut Creek, CA 94598
Phone (925) 266-8400

National Provider Directory

National Provider Directory
Tax ID family
Easter Seals Bay Area11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

160 Wikiup Dr
Ste 102
Santa Rosa, CA 95403
Phone (510) 342-4631

2730 Shadelands Dr
Bldg 10
Walnut Creek, CA 94598
Phone (855) 843-2476

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541376000000",
    "number": "1780048421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 SHADELANDS DRIVE, BLDG. 10",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "94598",
            "telephone_number": "925-266-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 WIKIUP DRIVE, SUITE 102",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95403",
            "telephone_number": "707-843-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS BAY AREA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-08",
        "last_updated": "2018-11-05",
        "status": "A",
        "authorized_official_last_name": "ARMIGER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "925-266-8400"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; 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.