Adrian Jake Delacruz Calara
Behavior Technician in San Mateo, CA. Individual provider (NPI-1).
NPI number1831783075
StatusActive
Last updated in NPPESFeb 28, 2021
Details
- NPI
- 1831783075
- Entity type
- Individual (NPI-1)
- Name
- Adrian Jake Delacruz Calara
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 28, 2021
- Certification date
- Feb 28, 2021
- Last updated
- Feb 28, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
424 Peninsula AveSan Mateo, CA 94401-1653
Phone 650-286-4396
Mailing address
38 Nelson CtDaly City, CA 94015-2820
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 848 Behavior Technician providers in San Mateo · All 4,655 providers in San Mateo
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