Vania Baltazar Mireles

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

39159 Paseo Padre Pkwy Ste 205
Fremont, CA 94538-1623

Phone

(408) 372-8280

NPI assigned

Feb 12, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Ed Sped Solutions, Inc.

  • Exclusive Provider Organization
  • Fremont, CA
  • NPI 1114573789
  NPD

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1801489653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 98TH AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946032701",
            "telephone_number": "510-480-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39159 PASEO PADRE PKWY STE 205",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381623",
            "telephone_number": "408-372-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALTAZAR MIRELES",
        "first_name": "VANIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-12",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arleen Joyce Ballin, P.T.
• Annemarie Ballinger
• Sophia Gabrielle Crisostomo Balmaceda
• Fatema Balooch, FNP-C
• Balsam Home Care LLC
• Anna Mae Bambao
• Ayodeji Adetunji Bamisaye
• Emilia Banard, PA
• Kristen Banchieri
• Cienna Bancroft

• Behavior Technician in Fremont, CA
• Providers in Fremont, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.