IndividualActive
Soeharto Gotama
NPI 1760952915 · Behavior Technician · Laguna Hills, CA
Soeharto Gotama is a Behavior Technician provider in Laguna Hills, CA (NPI 1760952915).
Provider details
- NPI number
- 1760952915
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
25201 Paseo De Alicia Ste 110
Laguna Hills, CA 92653-4627
Phone: (818) 241-6780
Fax: (818) 241-6853
Street-level locationGet directions
Mailing address
206 N Jackson St Ste 202
Glendale, CA 91206-4330
Registry dates
- Enumerated
- 2018-11-30
- Last updated
- 2018-11-30
Frequently asked questions
- What is Soeharto Gotama's NPI number?
- Soeharto Gotama's National Provider Identifier (NPI) is 1760952915, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Soeharto Gotama's specialty?
- Soeharto Gotama is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Soeharto Gotama located?
- Soeharto Gotama's practice location on file with NPPES is 25201 Paseo De Alicia Ste 110, Laguna Hills, CA 92653-4627.
- What is Soeharto Gotama's phone number?
- The practice phone number listed in the NPPES registry for Soeharto Gotama is (818) 241-6780.
- Is Soeharto Gotama's NPI active?
- Yes — Soeharto Gotama's NPI (1760952915) is active in the NPPES registry as of the last update on 2018-11-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.