Active NPI
Cristina Maria Irwin
- Behavior Technician
- Vista, CA
National Provider Identifier
1922515774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 1735496
- Practice address
- 707 Civic Center Dr Ste 202
Vista, CA 92084-6162 - Phone
- (760) 294-1206
- Fax
- (760) 294-1206
- NPI assigned
- Jan 2, 2018
- 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 | 1735496 | CA | Primary |
Addresses
Primary practice location
707 Civic Center Dr Ste 202
Vista, CA 92084-6162
Mailing address
707 Civic Center Dr Ste 202
Vista, CA 92084-6162
Phone (760) 294-1206
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1735496 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514851200000",
"number": "1922515774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 CIVIC CENTER DR STE 202",
"city": "VISTA",
"state": "CA",
"postal_code": "920846162",
"telephone_number": "760-294-1206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 CIVIC CENTER DR STE 202",
"city": "VISTA",
"state": "CA",
"postal_code": "920846162",
"telephone_number": "760-294-1206",
"fax_number": "760-294-1206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRWIN",
"first_name": "CRISTINA",
"middle_name": "MARIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-02",
"last_updated": "2018-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "1735496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.