Active NPI
Gerardo Varela
- Behavior Technician
- San Diego, CA
National Provider Identifier
1932791464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-21-154222
- Practice address
- 3914 Murphy Canyon Rd Ste A120
San Diego, CA 92123-4457 - Phone
- (951) 813-4034
- NPI assigned
- Feb 5, 2021
- Sex
- Male
- 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 | RBT-21-154222 | CA | Primary |
Addresses
Primary practice location
3914 Murphy Canyon Rd Ste A120
San Diego, CA 92123-4457
Mailing address
475 34TH St Apt D
San Diego, CA 92102-4256
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BACB652656 | Other | CA | BEHAVIOR ANALYST CERTIFICATION BOARD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | gvarela@comprehensiveautismcenter.com | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| RBT-21-154222 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612483200000",
"number": "1932791464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 34TH ST APT D",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921024256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3914 MURPHY CANYON RD STE A120",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234457",
"telephone_number": "951-813-4034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARELA",
"first_name": "GERARDO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-05",
"last_updated": "2021-02-05",
"certification_date": "2021-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "RBT-21-154222",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
"identifier": "BACB652656",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "gvarela@comprehensiveautismcenter.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "3914 Murphy Canyon Rd Ste A120",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921234457",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.