Active NPI
Kyle Vanthof
- Behavior Technician
- San Diego, CA
National Provider Identifier
1962345975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB1538145
- Practice address
- 7460 Mission Valley Rd
San Diego, CA 92108-4437 - Phone
- (619) 376-6653
- NPI assigned
- Apr 13, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
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 | BACB1538145 | CA | Primary |
Addresses
Primary practice location
7460 Mission Valley Rd
San Diego, CA 92108-4437
Mailing address
5401 Brockbank PL
San Diego, CA 92115-1413
Phone (619) 376-6653
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 |
|---|---|---|---|
| BACB1538145 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776038400000",
"number": "1962345975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5401 BROCKBANK PL",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921151413",
"telephone_number": "619-376-6653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7460 MISSION VALLEY RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921084437",
"telephone_number": "619-376-6653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANTHOF",
"first_name": "KYLE",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2026-04-13",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": "CA",
"license": "BACB1538145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.