Active NPI
Christopher Spagnesi, RBT
- Other Technician
- Fountain Valley, CA
National Provider Identifier
1790134245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- 247200000X
- Practice address
- 11037 Warner Ave
#339 Fountain Valley
Fountain Valley, CA 92708-4007 - Phone
- (800) 273-4292
- Fax
- (949) 253-4627
- NPI assigned
- Jun 6, 2016
- Last updated
- Jun 6, 2016
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | 247200000X | CA | Primary |
Addresses
Primary practice location
11037 Warner Ave
#339 Fountain Valley
Fountain Valley, CA 92708-4007
Mailing address
3964 Manzanita Dr
Apt C
San Diego, CA 92105-4504
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 |
|---|---|---|---|
| 247200000X | CA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Footprints Behavior Interventions | 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.
-
- Community/Behavioral Health Agency
- Fountain Valley, CA
- NPI 1770004830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465171200000",
"number": "1790134245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3964 MANZANITA DR",
"address_2": "APT C",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921054504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11037 WARNER AVE",
"address_2": "#339 FOUNTAIN VALLEY",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927084007",
"telephone_number": "800-273-4292",
"fax_number": "949-253-4627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPAGNESI",
"first_name": "CHRISTOPHER",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-06",
"last_updated": "2016-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "CA",
"license": "247200000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fountain Valley, CA
- Briana Nicole Southern
- Southland Eye Care Associates Inc
- Southland Medical Group,LLC
- Southland Renal Medical Group, Inc
- Southwind Medical Group (first advantage medical)
- Specialty Surgery Center at Fountain Valley Regional Hospital LLC
- Odessa Holbrooke Speirs, P.A.
- Samantha Victoria Spencer
- Malcolm Sperling, MD
- Spex 88 Optometry Corp (Prime Eye Care Optometry)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.