MR. KYLE MATTHEW LUIS (NPI# 1043567001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043567001 |
| Entity Type | Individual |
| Full Name | MR. KYLE MATTHEW LUIS |
| Credential | LPT |
| Practice Address |
40 East Minarets Pinedale CA 93650 |
| Practice Telephone | 5594364650 |
| Mailing Telephone | 5594360482 |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2012-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | PT36277 | CA | Nursing Service Providers |
| Street Address |
40 EAST MINARETS |
| City | PINEDALE |
| State | CA |
| Zip Code | 93650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508371279 | Mariella Valladares | Counselor | 40 E Minarets, Pinedale, Ca, Pinedale, CA 93650 | 2017-12-04 |
| 1346627999 | Amelia Mendoza | Case Manager/Care Coordinator | 40 E Minarets Ave #1, Pinedale, CA 93650 | 2015-05-04 |
| 1053740001 | Darci Simms | Social Worker | 40 E Minarets, Pinedale, CA 93650 | 2013-11-09 |
| 1184761710 | James Molina | Rehabilitation Practitioner | 40 E. Minarets, Pinedale, CA 93650 | 2007-01-31 |
| 1265549588 | Robert Thomas Ensom II | Psychiatry & Neurology | 40 E. Minarets Ave, Pinedale, CA 93650 | 2006-08-23 |
| 1386158715 | Mayra Lopez | Counselor | 40 E Minarets Ave, Pinedale, CA 93650 | 2017-11-21 |
| 1417339029 | Michelle Schreiner | Licensed Vocational Nurse | 40 E Minarets Ave, Pinedale, CA 93650 | 2015-06-19 |
| 1881012896 | Dolores Cruz Sandoval | Licensed Vocational Nurse | 40 E. Minarets, Pinedale, CA 93650 | 2014-04-07 |
| 1053672774 | Andrea Lynne Templeton | Counselor | 40 E Minarets Ave, Pinedale, CA 93650 | 2012-05-30 |
| 1477837458 | Olga Arredondo | Marriage & Family Therapist | 40 E Minarets Ave, Pinedale, CA 93650 | 2011-10-07 |
| Find all providers in zip 93650 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225695034 | Rufino Perez Jr. | Licensed Psychiatric Technician | 40 E Minarets Ave, Pinedale, CA 93650-1239 | 2019-05-28 |
| 1972828879 | Patricia Huerta-rubio | Licensed Psychiatric Technician | 40 E Minarets Ave, Pinedale, CA 93650-1239 | 2010-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203592 | Leahann Vedella | Licensed Psychiatric Technician | 2398 Flatley Cir, Fairfield, CA 94533-8921 | 2020-10-23 |
| 1225635865 | Thalia I. Rochel | Licensed Psychiatric Technician | 450 E Temple St, Los Angeles, CA 90012-4022 | 2020-10-06 |
| 1427665090 | Egbert Tantiongco | Licensed Psychiatric Technician | 1460 E Willow St, Signal Hill, CA 90755-3549 | 2020-09-28 |
| 1114530250 | Heather Elizabeth Phillips | Licensed Psychiatric Technician | 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 | 2020-08-28 |
| 1841801479 | Mercedes Samantha Hamilton | Licensed Psychiatric Technician | 18465 Grand Ave, Lake Elsinore, CA 92530 | 2020-08-17 |
| 1609491935 | Elisa Becerra | Licensed Psychiatric Technician | 745 Park St, Paso Robles, CA 93446-2834 | 2020-06-12 |
| 1518581099 | Theresa Lynn Stewart | Licensed Psychiatric Technician | 1110 Newport Way, Roseville, CA 95661-5315 | 2020-06-01 |
| 1093337511 | Christine Ann Scheuermann | Licensed Psychiatric Technician | 1447 Report Ave, Stockton, CA 95205-3030 | 2020-05-07 |
| 1477189512 | Sandra J Foshee | Licensed Psychiatric Technician | 48918 Mojave Dr, Morongo Valley, CA 92256-9243 | 2020-03-20 |
| 1376177725 | Chanel Christine Turpin | Licensed Psychiatric Technician | 450 Kings County Dr Ste 102, Hanford, CA 93230-5782 | 2020-02-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.