Active NPI
Rungrat Malee
- Behavior Technician
- Encino, CA
National Provider Identifier
1841715364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- F5746265
- Practice address
- 16500 Ventura Blvd
Suite 414
Encino, CA 91436 - Phone
- (818) 788-1003
- NPI assigned
- Aug 4, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 Technician | 106S00000X | F5746265 | CA | Primary |
Addresses
Primary practice location
16500 Ventura Blvd
Suite 414
Encino, CA 91436
Mailing address
10131 Babbitt Ave
Northridge, CA 91325-1550
Phone (818) 571-0361
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 91995197D43091 | Other | CA | MEDICAL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F5746265 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501804800000",
"number": "1841715364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10131 BABBITT AVE",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913251550",
"telephone_number": "818-571-0361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16500 VENTURA BLVD",
"address_2": "SUITE 414",
"city": "ENCINO",
"state": "CA",
"postal_code": "91436",
"telephone_number": "818-788-1003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALEE",
"first_name": "RUNGRAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-04",
"last_updated": "2017-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "F5746265",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "91995197D43091",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.