Active NPI
Alexandra C Astorga
- Behavior Analyst
- Riverside, CA
National Provider Identifier
1780281311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 12426
- Practice address
- 6117 Brockton Ave Ste 202
Riverside, CA 92506-2207 - Phone
- (951) 440-6220
- NPI assigned
- Oct 6, 2020
- Last updated
- Oct 6, 2020
- 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 | 12426 | CA | Primary |
Addresses
Primary practice location
6117 Brockton Ave Ste 202
Riverside, CA 92506-2207
Mailing address
17425 Kentucky Derby Dr
Moreno Valley, CA 92555-7909
Phone (951) 250-2492
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 |
|---|---|---|---|
| 12426 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601942400000",
"number": "1780281311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17425 KENTUCKY DERBY DR",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925557909",
"telephone_number": "951-250-2492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6117 BROCKTON AVE STE 202",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925062207",
"telephone_number": "951-440-6220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASTORGA",
"first_name": "ALEXANDRA",
"middle_name": "C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-06",
"last_updated": "2020-10-06",
"certification_date": "2020-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "12426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
- Assistive Health Systems, Inc. (Assistive Hospice and Palliative Care)
- Associated Specialist in Hearing Disorders Hearing AIDS
- Assumption Home Care, Inc.
- Assure Medical Transport
- Assured Pharmacies, Inc
- Nancy Araceli Astorga, B.A.
- Connor P Astran, NONE
- Geovanna Asturias, LCSW
- Atalanta C Olito Osteopathic Corp
- Samira S Atalla, PHARM.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.