Kimberly Marie Murrietta

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

4030 Moorpark Ave Ste 105
San Jose, CA 95117-1848

Phone

(310) 856-0800

Fax

(310) 856-0800

NPI assigned

Mar 2, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519948800000",
    "number": "1790287084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 MOORPARK AVE STE 105",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171848",
            "telephone_number": "310-856-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 MOORPARK AVE STE 105",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171848",
            "telephone_number": "310-856-0800",
            "fax_number": "310-856-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRIETTA",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-02",
        "last_updated": "2018-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "103846287",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deanna L. Murray, LMFT
• Kristen Sophia Murray
• Michael Joseph Murray
• Michael Todd Murray, M.D.
• Ralph Jack Murrieta Jr.
• Patrick Murry-Smith
• Yoseph Teguh Murtanu, DMD
• Harish H K Murthy, MD
• Rowena Rachel Murthy, M.D.
• Rachelle Murti

• Behavior Technician in San Jose, CA
• Providers in San Jose, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.