KYO AUTISM THERAPY, LLC
Complete NPI Record 1720212749
Community/Behavioral Health in Daly City, CA
Active since May 05, 2009
Complete NPI Dataset
This page contains the complete raw NPPES record for Kyo Autism Therapy, Llc (NPI 1720212749), a community/behavioral health organization in Daly City, CA. All 41 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1720212749 Field 1/41
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/41
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/41
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: KYO AUTISM THERAPY, LLC Field 4/41
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider Other Organization Name: Not available Field 5/41
- Other name by which the organization provider is or has been known.
- Provider Other Organization Name Type Code: 6 Field 6/41
- Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
- Provider First Line Business Mailing Address: 295 89TH ST STE 306 Field 7/41
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: DALY CITY Field 8/41
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: CA Field 9/41
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 940151656 Field 10/41
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 11/41
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 8772646747 Field 12/41
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider Business Mailing Address Fax Number: 8775397730 Field 13/41
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
- Provider First Line Business Practice Location Address: 295 89TH ST STE 306 Field 14/41
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: DALY CITY Field 15/41
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: CA Field 16/41
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 940151656 Field 17/41
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 18/41
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 8772646747 Field 19/41
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 8775397730 Field 20/41
- The fax number associated with the location address of the provider being identified.
- Authorized Official Last Name: DAVITIAN Field 23/41
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: COLIN Field 24/41
- The first name of the authorized official.
- Authorized Official Title or Position: CHEIF EXECUTIVE OFFICER Field 25/41
- The title or position of the authorized official.
- Authorized Official Telephone Number: 8772646747 Field 26/41
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 103K00000X Field 27/41
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: N Field 28/41
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 2: 106E00000X Field 29/41
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 2: N Field 30/41
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 3: 106S00000X Field 31/41
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 3: N Field 32/41
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 4: 251S00000X Field 33/41
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number 4: 1042076 Field 34/41
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
- Provider License Number State Code 4: CA Field 35/41
- The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
- Healthcare Provider Primary Taxonomy Switch 4: Y Field 36/41
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Organization Subpart: N Field 37/41
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
- Healthcare Provider Taxonomy Group 1: 193200000X MULTI-SPECIALTY GROUP Field 38/41
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
- Healthcare Provider Taxonomy Group 2: 193200000X MULTI-SPECIALTY GROUP Field 39/41
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
- Healthcare Provider Taxonomy Group 3: 193200000X MULTI-SPECIALTY GROUP Field 40/41
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
Other Organization Names 1
Additional business and trade names this provider has on file with the NPPES registry.
Gateway Learning Group, LLC Doing Business As
Name 1/1Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
Secondary Practice Locations 36
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
5242 S College Dr Ste 380
Location 1/36Murray, UT 84123-2753 · Phone (877) 264-6747
504 W 800 N
Location 2/36Orem, UT 84057-3746 · Phone (877) 264-6747
216 Commercial St NE
Location 3/36Salem, OR 97301-3410 · Phone (877) 264-6747
100 S Ashley Dr Ste 600
Location 4/36Tampa, FL 33602-5300 · Phone (877) 264-6747
10202 5th Ave NE Fl 2
Location 5/36Seattle, WA 98125-7472 · Phone (877) 264-6747
555 Andover Park W Ste 200
Location 6/36Tukwila, WA 98188-3379 · Phone (877) 264-6747
1800 Sutter St Ste 300
Location 7/36Concord, CA 94520-2556 · Phone (877) 264-6747 · Fax (877) 539-7730
200 E Del Mar Blvd Ste 112
Location 8/36Pasadena, CA 91105-2552 · Phone (877) 264-6747 · Fax (877) 539-7730
1290 B St Ste 120
Location 9/36Hayward, CA 94541-2952 · Phone (877) 264-6747 · Fax (877) 539-7730
121 Paul Dr Ste B
Location 10/36San Rafael, CA 94903-2047 · Phone (877) 264-6747 · Fax (877) 539-7730
2525 Camino Del Rio S Ste 335
Location 11/36San Diego, CA 92108-3743 · Phone (877) 264-6747 · Fax (877) 539-7730
1101 S Winchester Blvd Ste F168
Location 12/36San Jose, CA 95128-3903 · Phone (877) 264-6747 · Fax (877) 539-7730
16541 Gothard St Ste 110
Location 13/36Huntington Beach, CA 92647-4472 · Phone (877) 264-6747 · Fax (877) 539-7730
495 Seaport Ct Ste 102
Location 14/36Redwood City, CA 94063-2785 · Phone (877) 264-6747 · Fax (877) 539-7730
1451 River Park Dr Ste 285
Location 15/36Sacramento, CA 95815-4522 · Phone (877) 264-6747 · Fax (877) 539-7730
3600 Lime St Ste 716
Location 16/36Riverside, CA 92501-2978 · Phone (877) 264-6747
27555 Ynez Rd Ste 110
Location 17/36Temecula, CA 92591-4677 · Phone (877) 264-6747
633 W 5th St Ste 2613
Location 18/36Los Angeles, CA 90071-2005 · Phone (877) 264-6747
801 Brickell Ave Fl 8
Location 19/36Miami, FL 33131-2951 · Phone (877) 264-6747
315 Deaderick St Fl 17
Location 20/36Nashville, TN 37238-3000 · Phone (877) 264-6747
2281 Lee Rd Ste 105
Location 21/36Winter Park, FL 32789-7208 · Phone (877) 264-6747
2550 W Union Hills Dr Ste 350
Location 22/36Phoenix, AZ 85027-5187 · Phone (877) 264-6747
931 E Southern Ave Ste 210
Location 23/36Mesa, AZ 85204-5043 · Phone (877) 264-6747
2455 Bennett Valley Rd Ste B302
Location 24/36Santa Rosa, CA 95404-5650 · Phone (877) 264-6747 · Fax (877) 539-7730
101 Cooper St
Location 25/36Santa Cruz, CA 95060-4526 · Phone (877) 264-6747 · Fax (877) 539-7730
Carlota Plaza 23046 Avinida de la Carlota, Suite 600
Location 26/36Laguna Hills, CA 92653 · Phone (877) 264-6747 · Fax (877) 539-7730
4770 Baseline Rd Ste 200
Location 27/36Boulder, CO 80303-2668 · Phone (877) 264-6747 · Fax (877) 539-7730
1372 Peachtree St NE
Location 28/36Atlanta, GA 30309-3203 · Phone (877) 264-6747
9221 SW Barbur Blvd Ste 125
Location 29/36Portland, OR 97219-5408 · Phone (877) 264-6747 · Fax (877) 539-7730
500 Marquette Ave NW Ste 1200
Location 30/36Albuquerque, NM 87102-5312 · Phone (877) 264-6747
4821 Merlot Ave Unit 210
Location 31/36Grapevine, TX 76051-7386 · Phone (877) 264-6747
1250 S Capital Of Texas Hwy Ste 400
Location 32/36West Lake Hills, TX 78746-6446 · Phone (877) 267-6747
390 Interlocken Cres Ste 350
Location 33/36Broomfield, CO 80021-8051 · Phone (877) 264-6747
3730 Kirby Dr Ste 1200
Location 34/36Houston, TX 77098-3985 · Phone (877) 264-6747
333 N Alabama St Ste 350
Location 35/36Indianapolis, IN 46204-2275 · Phone (877) 264-6747
128 Millport Cir Ste 200
Location 36/36Greenville, SC 29607-5573 · Phone (877) 264-6747 · Fax (877) 539-7730
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