Active NPI
Zoe Alyssa Gort, NA
- Behavior Technician
- Santa Ana, CA
National Provider Identifier
1902593908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 555 Parkcenter Dr
Santa Ana, CA 92705-3521 - Phone
- (714) 310-4377
- NPI assigned
- Apr 19, 2023
- Sex
- Female
- 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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
555 Parkcenter Dr
Santa Ana, CA 92705-3521
Mailing address
5 Woodswallow LN
Aliso Viejo, CA 92656-1205
Phone (949) 351-8784
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": "1681862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681862400000",
"number": "1902593908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 WOODSWALLOW LN",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "926561205",
"telephone_number": "949-351-8784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 PARKCENTER DR",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053521",
"telephone_number": "714-310-4377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORT",
"first_name": "ZOE",
"middle_name": "ALYSSA",
"credential": "NA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-19",
"last_updated": "2023-04-19",
"certification_date": "2023-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.