Active NPI
Fernando Pelaez
- Behavior Analyst
- Sierra Madre, CA
National Provider Identifier
1841665825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-15-18669
- Practice address
- 370 W Sierra Madre Blvd
Suite B
Sierra Madre, CA 91024-2354 - Phone
- (626) 355-5160
- Fax
- (626) 355-5173
- NPI assigned
- Dec 2, 2015
- Sex
- Male
- 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 | 1-15-18669 | CA | Primary |
Addresses
Primary practice location
370 W Sierra Madre Blvd
Suite B
Sierra Madre, CA 91024-2354
Mailing address
370 W. Sierra Madre Blvd.
Suite B
Sierra Madre, CA 91024
Phone (626) 355-5160
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": "1449014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449014400000",
"number": "1841665825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "370 W. SIERRA MADRE BLVD.",
"address_2": "SUITE B",
"city": "SIERRA MADRE",
"state": "CA",
"postal_code": "91024",
"telephone_number": "626-355-5160",
"fax_number": "626-355-5173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "370 W SIERRA MADRE BLVD",
"address_2": "SUITE B",
"city": "SIERRA MADRE",
"state": "CA",
"postal_code": "910242354",
"telephone_number": "626-355-5160",
"fax_number": "626-355-5173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELAEZ",
"first_name": "FERNANDO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-02",
"last_updated": "2015-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-15-18669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sierra Madre, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.