Mauricio Garduno Perez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

8910 University Center LN Ste 400
San Diego, CA 92122-1025

Phone

(603) 692-8173

NPI assigned

Mar 16, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• True Crew California LLC

  • Behavior Analyst
  • San Diego, CA
  • NPI 1003439118
  NPD

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1912608860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1247 N LAS FLORES DR",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920695900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8910 UNIVERSITY CENTER LN STE 400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221025",
            "telephone_number": "603-692-8173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDUNO PEREZ",
        "first_name": "MAURICIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Gardner
• Monta Gardner, RN
• Ronald E Gardner
• Steven Edward Gardner, M.D.
• Susan Diane Gardner
• Tanya Elizabeth Garduno
• Nicholas Peter Gardyn, DO
• Shelly K Gareiss, DDS
• Elissa Garelick
• Donna Garey, M.P.T.

• Behavior Technician in San Diego, CA
• Providers in San Diego, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.