IndividualActive
Jacob Ichimaru
NPI 1770434425 · Behavior Technician · San Diego, CA
Jacob Ichimaru is a Behavior Technician provider in San Diego, CA (NPI 1770434425).
Provider details
- NPI number
- 1770434425
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(47/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
5333 Mission Center Rd Ste 110
San Diego, CA 92108-1347
Phone: (855) 223-7123
Street-level locationGet directions
Mailing address
Po Box 740780
Atlanta, GA 30374-0780
Registry dates
- Enumerated
- 2026-02-09
- Last updated
- 2026-02-09
- Certified
- 2026-02-08
Frequently asked questions
- What is Jacob Ichimaru's NPI number?
- Jacob Ichimaru's National Provider Identifier (NPI) is 1770434425, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Ichimaru's specialty?
- Jacob Ichimaru is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Jacob Ichimaru located?
- Jacob Ichimaru's practice location on file with NPPES is 5333 Mission Center Rd Ste 110, San Diego, CA 92108-1347.
- What is Jacob Ichimaru's phone number?
- The practice phone number listed in the NPPES registry for Jacob Ichimaru is (855) 223-7123.
- Is Jacob Ichimaru's NPI active?
- Yes — Jacob Ichimaru's NPI (1770434425) is active in the NPPES registry as of the last update on 2026-02-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.