Mia Obeso

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1101 S Winchester Blvd Ste N-260
San Jose, CA 95128

Phone

(408) 689-4900

NPI assigned

Sep 26, 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

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": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1811472731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 SHADELANDS DR BLDG 10",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982538",
            "telephone_number": "408-689-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S WINCHESTER BLVD STE N-260",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95128",
            "telephone_number": "408-689-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 S Winchester Blvd Ste N-260",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951283901",
            "country_code": "US",
            "telephone_number": "408-689-4900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBESO",
        "first_name": "MIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-26",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oasis Care, Inc. (Riviera EVP)
• Cameron Isao Oba, M.D.
• Freshta Obaid, RN
• Denise Oberhofer, MCTCM, LAC
• Morgan Oberle
• Andressa Forni Obice, PA-C
• Margaret N Obilor
• Peter C Obilor
• Whitney I Obisanya
• Joselyn Oblea

• 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 Oct 31, 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.