Active NPI
Michelle Pallares
- Student in an Organized Health Care Education/Training Program
- Commerce, CA
National Provider Identifier
1992425862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 5400 E Olympic Blvd FL 1
Commerce, CA 90022-5147 - Phone
- (323) 869-9255
- NPI assigned
- Aug 31, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
5400 E Olympic Blvd FL 1
Commerce, CA 90022-5147
Mailing address
940 Avenue 64
Pasadena, CA 91105-2711
Phone (323) 543-2800
Other practice location 1
1319 Calle Avanzado
San Clemente, CA 92673-6351
Phone (949) 272-6146
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evolutions ABA Inc | Behavior Technician | Past | 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": "1661904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676937600000",
"number": "1992425862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 AVENUE 64",
"city": "PASADENA",
"state": "CA",
"postal_code": "911052711",
"telephone_number": "323-543-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 E OLYMPIC BLVD FL 1",
"city": "COMMERCE",
"state": "CA",
"postal_code": "900225147",
"telephone_number": "323-869-9255"
}
],
"practiceLocations": [
{
"address_1": "1319 Calle Avanzado",
"address_purpose": "LOCATION",
"city": "San Clemente",
"state": "CA",
"postal_code": "926736351",
"country_code": "US",
"telephone_number": "949-272-6146",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PALLARES",
"first_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-31",
"last_updated": "2023-02-21",
"certification_date": "2023-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Commerce, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.