Individual provider Active NPI

Guillermo Sunny Meras

  • Behavior Technician
  • Long Beach, CA
National Provider Identifier
1891564472
Registry record updated Dec 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
BACB583095 Issued in CA
Practice address
5416 E Oleta St
Long Beach, CA 90815-4428
Phone
(714) 270-3375
NPI assigned
Dec 25, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 25, 2023

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 BACB583095 CA Primary

Addresses

Primary practice location

5416 E Oleta St
Long Beach, CA 90815-4428

Mailing address

5242 Vesper Ave Apt 8
Sherman Oaks, CA 91411-4094
Phone (818) 383-9592

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
BACB583095CAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Pivotal Parenting Support LLC CurrentSince Dec 31, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1703462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703462400000",
    "number": "1891564472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5242 VESPER AVE APT 8",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914114094",
            "telephone_number": "818-383-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5416 E OLETA ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908154428",
            "telephone_number": "714-270-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERAS",
        "first_name": "GUILLERMO",
        "middle_name": "SUNNY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-25",
        "last_updated": "2023-12-25",
        "certification_date": "2023-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "BACB583095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2023; 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.