Active NPI
Garridan P Santos
- Behavior Technician
- Las Vegas, NV
National Provider Identifier
1851942064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 4760 S Pecos Rd Ste 107
Las Vegas, NV 89121-5828 - Phone
- (808) 723-1907
- NPI assigned
- Sep 28, 2019
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
4760 S Pecos Rd Ste 107
Las Vegas, NV 89121-5828
Mailing address
4760 S Pecos Rd Ste 107
Las Vegas, NV 89121-5828
Phone (808) 723-1907
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Gsan670@outlook.com | Direct | |
| Other URL | Advancedhealthserviceslv@gmail.com | Direct |
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": "1569628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571270400000",
"number": "1851942064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4760 S PECOS RD STE 107",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891215828",
"telephone_number": "808-723-1907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4760 S PECOS RD STE 107",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891215828",
"telephone_number": "808-723-1907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS",
"first_name": "GARRIDAN",
"middle_name": "P",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-09-28",
"last_updated": "2019-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Gsan670@outlook.com",
"affiliation": "N",
"endpointDescription": "Business",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Business Message",
"address_1": "4760 S Pecos Rd Ste 107",
"city": "Las Vegas",
"state": "NV",
"country_code": "US",
"postal_code": "891215828",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Advancedhealthserviceslv@gmail.com",
"affiliation": "N",
"endpointDescription": "business",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "business message",
"address_1": "4760 S Pecos Rd Ste 107",
"city": "Las Vegas",
"state": "NV",
"country_code": "US",
"postal_code": "891215828",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.