Individual provider Active NPI

Hunter Gabriel Tardiff, RBT

  • Behavior Technician
  • Rancho Santa Margarita, CA
National Provider Identifier
1982298816
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-21-155554 Issued in CA
Practice address
30252 Tomas
Rancho Santa Margarita, CA 92688-2129
Phone
(949) 459-1658
NPI assigned
Feb 22, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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 RBT-21-155554 CA Primary

Addresses

Primary practice location

30252 Tomas
Rancho Santa Margarita, CA 92688-2129

Mailing address

30252 Tomas
Rancho Santa Margarita, CA 92688-2129
Phone (949) 459-1658

Other identifiers 1

IdentifierTypeStateIssuer
RBT-21-155554MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Hunter@rainbowkids-ac.com Direct

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
RBT-21-155554CAMDBehavior Technician

Interoperability endpoints

  • Direct secure messaging: hunter@rainbowkids-ac.com

NPI Registry JSON

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1982298816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30252 TOMAS",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882129",
            "telephone_number": "949-459-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30252 TOMAS",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882129",
            "telephone_number": "949-459-1658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARDIFF",
        "first_name": "HUNTER",
        "middle_name": "GABRIEL",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-21-155554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RBT-21-155554",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Hunter@rainbowkids-ac.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "30252 Tomas",
            "city": "Rancho Santa Margarita",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926882129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rancho Santa Margarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.

Verify at the official NPI Registry.