Active NPI
Shane Steffes
- Behavior Analyst
- San Diego, CA
National Provider Identifier
1851890529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-20-43007
- Practice address
- 9245 Activity Rd Ste 106
San Diego, CA 92126-4442 - Phone
- (858) 428-0222
- Fax
- (847) 348-3706
- NPI assigned
- Feb 7, 2018
- 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 | 1-20-43007 | CA | Primary |
Addresses
Primary practice location
9245 Activity Rd Ste 106
San Diego, CA 92126-4442
Mailing address
21600 Oxnard St
Woodland Hills, CA 91367-4976
Other practice location 1
9335 Reseda Blvd
Northridge, CA 91324-2968
Phone (818) 960-0634
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": "1517961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620172800000",
"number": "1851890529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21600 OXNARD ST",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913674976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9245 ACTIVITY RD STE 106",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921264442",
"telephone_number": "858-428-0222",
"fax_number": "847-348-3706"
}
],
"practiceLocations": [
{
"address_1": "9335 Reseda Blvd",
"address_purpose": "LOCATION",
"city": "Northridge",
"state": "CA",
"postal_code": "913242968",
"country_code": "US",
"telephone_number": "818-960-0634",
"fax_number": "818-960-0634",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEFFES",
"first_name": "SHANE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-07",
"last_updated": "2021-05-05",
"certification_date": "2021-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-20-43007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.