Jesus Abad Holganza

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

8000 West End Road
Anchorage, AK 99501

Phone

(907) 743-8730

NPI assigned

Jun 25, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jesse Holganza Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• The Salvation Army Clitheroe Center - Dual Diagnosis

  • Substance Abuse Rehabilitation Facility
  • Anchorage, AK
  • NPI 1124147905
  NPD (past)
• The Salvation Army, a California Corporation

  • Community/Behavioral Health Agency
  • Anchorage, AK
  • NPI 1518503267
  NPD (past)

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1780245324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 E 20TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083416",
            "telephone_number": "907-743-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 WEST END ROAD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99501",
            "telephone_number": "907-743-8730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLGANZA",
        "first_name": "JESUS",
        "middle_name": "ABAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSE",
            "last_name": "HOLGANZA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stephanie Holcombe, RN, CNM, FNP
• Hold the Door Holdings LLC
• Julie Elise Holden, LPC
• Sherrie J Holder, DDS
• Robert K Holfeld, DDS
• Jeanne Holifield
• Thais Holladay, LCSW
• Alicia Holland
• Dakota R Holland
• Gabriel R Holland, PA-C

• All providers in Anchorage, AK
• Behavior Technician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.