NPIMap

Organization Active NPI

Easter Seals Bay Area

  • Behavior Analyst
  • San Jose, CA
National Provider Identifier
1902134547
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
EASTER SEALS BAY AREA
Practice address
1101 South Winchester Blvd., Suite N260
San Jose, CA 95128
Phone
(408) 654-9311
Fax
(408) 654-9847
NPI assigned
Nov 19, 2009
Last updated
Nov 5, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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

Authorized official

Name
Susan Armiger
Title
President and Ceo
Phone
(925) 266-8400

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Early Intervention Provider Agency 252Y00000X 6626 CA

Addresses

Primary practice location

1101 South Winchester Blvd., Suite N260
San Jose, CA 95128

Mailing address

2730 Shadelands Drive, BLDG. 10
Walnut Creek, CA 94598
Phone (925) 266-8400

Other names 1

  • Easter Seals Society of the Bay Area Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Easter Seals Bay Area11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1101 S Winchester Blvd
Ste N260
San Jose, CA 95128
Phone (408) 654-9311

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541376000000",
    "number": "1902134547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 SHADELANDS DRIVE, BLDG. 10",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "94598",
            "telephone_number": "925-266-8400",
            "fax_number": "510-944-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 SOUTH WINCHESTER BLVD., SUITE N260",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95128",
            "telephone_number": "408-654-9311",
            "fax_number": "408-654-9847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS BAY AREA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2018-11-05",
        "status": "A",
        "authorized_official_last_name": "ARMIGER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "925-266-8400"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "CA",
            "license": "6626",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Easter Seals Society of the Bay Area",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Easter Seals Society of the Bay Area",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; 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.