Active NPI
Aglae Sotomayor Rubio
- Behavior Technician
- La Palma, CA
National Provider Identifier
1902478746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 6 Centerpointe Dr Ste 700
La Palma, CA 90623-2545 - Phone
- (800) 939-3410
- NPI assigned
- Jul 12, 2021
- Sex
- Female
- 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
6 Centerpointe Dr Ste 700
La Palma, CA 90623-2545
Mailing address
9589 Marcona Ave
Fontana, CA 92335
Phone (909) 232-6559
Other practice location 1
9589 Marcona Ave
Fontana, CA 92335
Phone (909) 232-6559
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": "1626048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656374400000",
"number": "1902478746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9589 MARCONA AVE",
"city": "FONTANA",
"state": "CA",
"postal_code": "92335",
"telephone_number": "909-232-6559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 CENTERPOINTE DR STE 700",
"city": "LA PALMA",
"state": "CA",
"postal_code": "906232545",
"telephone_number": "800-939-3410"
}
],
"practiceLocations": [
{
"address_1": "9589 Marcona Ave",
"address_purpose": "LOCATION",
"city": "Fontana",
"state": "CA",
"postal_code": "92335",
"country_code": "US",
"telephone_number": "909-232-6559",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOTOMAYOR RUBIO",
"first_name": "AGLAE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-12",
"last_updated": "2022-06-28",
"certification_date": "2022-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Palma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.