Active NPI
Angela Ancheta Laco
- Behavior Analyst
- Vallejo, CA
National Provider Identifier
1821588948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 71 Los Cerritos Dr
Vallejo, CA 94589 - Phone
- (707) 334-6186
- NPI assigned
- May 14, 2018
- Last updated
- May 14, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | NU | Primary |
Addresses
Primary practice location
71 Los Cerritos Dr
Vallejo, CA 94589
Mailing address
71 Los Cerritos Dr
Vallejo, CA 94589-2606
Phone (170) 733-4618
Other practice location 1
1025 Atlantic Ave Ste 101
Alameda, CA 94501-1188
Phone (510) 268-8120
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526256000000",
"number": "1821588948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 LOS CERRITOS DR",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945892606",
"telephone_number": "170-733-4618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 LOS CERRITOS DR",
"city": "VALLEJO",
"state": "CA",
"postal_code": "94589",
"telephone_number": "707-334-6186"
}
],
"practiceLocations": [
{
"address_1": "1025 Atlantic Ave Ste 101",
"address_purpose": "LOCATION",
"city": "Alameda",
"state": "CA",
"postal_code": "945011188",
"country_code": "US",
"telephone_number": "510-268-8120",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LACO",
"first_name": "ANGELA",
"middle_name": "ANCHETA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-14",
"last_updated": "2018-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vallejo, CA
- La Clinica de la Raza, Inc. (La Clinica North Vallejo)
- La Clinica de la Raza, Inc. (La Clinica North Vallejo)
- Amanda Que-Anh La, PHARM.D.
- Connor James Labella, PA-C
- Laboratory Corporation of America Holdings
- Jena Lacy
- Maria Cecilia Ferrer Ladao
- Farshid Laghaei, PHARM.D.
- Margaret Lagomarsino
- Joy Hei Matthew Lai
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.