Individual provider Active NPI

Lucero Yoselin Trejo Guerrero

  • Behavior Technician
  • Napa, CA
National Provider Identifier
1851861314
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
46-1305562 Issued in CA
Practice address
3419 Valle Verde Dr
Napa, CA 94558-2414
Phone
(707) 299-8250
NPI assigned
Nov 27, 2018
Last updated
Oct 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 46-1305562 CA Primary

Addresses

Primary practice location

3419 Valle Verde Dr
Napa, CA 94558-2414

Mailing address

1025 Atlantic Ave Ste 101
Alameda, CA 94501-1188

Other practice location 1

39210 State St Ste 220
Fremont, CA 94538-1456
Phone (510) 894-4135

Other practice location 2

1025 Atlantic Ave Ste 101
Alameda, CA 94501-1188
Phone (707) 553-1784

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

LicenseStateTypeSpecialty
46-1305562CAMDBehavior Technician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1851861314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 ATLANTIC AVE STE 101",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3419 VALLE VERDE DR",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945582414",
            "telephone_number": "707-299-8250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39210 State St Ste 220",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945381456",
            "country_code": "US",
            "telephone_number": "510-894-4135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1025 Atlantic Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Alameda",
            "state": "CA",
            "postal_code": "945011188",
            "country_code": "US",
            "telephone_number": "707-553-1784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREJO GUERRERO",
        "first_name": "LUCERO",
        "middle_name": "YOSELIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-27",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "46-1305562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.