Individual provider Active NPI

Elizabeth Camberos Valle

  • Behavior Technician
  • Riverside, CA
National Provider Identifier
1952016123
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1650 Spruce St Ste 250
Riverside, CA 92507-7429
Phone
(760) 687-6336
NPI assigned
Jan 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

1650 Spruce St Ste 250
Riverside, CA 92507-7429

Mailing address

1650 Spruce St Ste 250
Riverside, CA 92507-7429

Other identifiers 1

IdentifierTypeStateIssuer
106S00000XMedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 106S00000X

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": "1674172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1952016123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 SPRUCE ST STE 250",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925077429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 SPRUCE ST STE 250",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925077429",
            "telephone_number": "760-687-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMBEROS VALLE",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106S00000X",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "106S00000X",
            "affiliation": "N",
            "endpointDescription": "Behavioral Technician",
            "address_1": "1650 Spruce St Ste 250",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925077429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.