Dylan Ponzio

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

4334 Rous St
San Diego, CA 92122-2631

Phone

(831) 902-8944

NPI assigned

Feb 22, 2021

Sex

Male

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": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1811581804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1063 MCGAW AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4334 ROUS ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921222631",
            "telephone_number": "831-902-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONZIO",
        "first_name": "DYLAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Marie Morata Ponte
• Domingo Pontejos
• Karen Pickett Pontes, R.PH.
• Deborah Caren Pontillo, PH.D.
• Caitlyn Pontius
• John Ponzo
• Emma Lucille Pool, PA-C
• Melanie A Pool
• Ashley Poole
• David Matthew Poole, MD

• Behavior Analyst in San Diego, CA
• Providers in San Diego, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.