Individual provider Active NPI

Nathan Alan Virto, BCBA

  • Behavior Analyst
  • Santa Clara, CA
National Provider Identifier
1942882725
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-2149243 Issued in CA
Practice address
1880 Pruneridge Ave
Santa Clara, CA 95050-6514
Phone
(408) 245-3400
NPI assigned
Apr 22, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-2149243 CA Primary

Addresses

Primary practice location

1880 Pruneridge Ave
Santa Clara, CA 95050-6514

Mailing address

1880 Pruneridge Ave
Santa Clara, CA 95050-6514
Phone (408) 245-3400

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

LicenseStateTypeSpecialty
1-2149243CAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Autism Center for Education PastSince Mar 1, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1942882725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 PRUNERIDGE AVE",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950506514",
            "telephone_number": "408-245-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 PRUNERIDGE AVE",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950506514",
            "telephone_number": "408-245-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRTO",
        "first_name": "NATHAN",
        "middle_name": "ALAN",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-22",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-2149243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.