CAITLIN LEANNE LOPEZ (NPI# 1063935567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063935567 |
| Entity Type | Individual |
| Full Name | CAITLIN LEANNE LOPEZ |
| Credential | LPT |
| Practice Address |
1825 E Thelborn St West Covina CA 91791-1442 |
| Mailing Address |
7246 Remmet Ave Canoga Park CA 91303-1531 |
| Practice Telephone | 6269153844 |
| Practice Fax Number | 6269153845 |
| Mailing Telephone | 8182060360 |
| Mailing Fax Number | 8182060370 |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2019-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | 40399 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821658378 | Caitlin Lopez | Nurse Practitioner | 2211 Fort St, Wyandotte, MI 48192-4135 | 2019-06-17 |
| 1962683029 | Caitlin Carr Lopez | Radiology | 725 North St, Radiology Department, Pittsfield, MA 01201-4109 | 2007-11-16 |
| Street Address |
1825 E THELBORN ST |
| City | WEST COVINA |
| State | CA |
| Zip Code | 91791-1442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740346303 | Aegis Treatment Centers, LLC | Clinic/Center | 1825 E Thelborn St, West Covina, CA 91791-1442 | 2006-12-28 |
| 1639637226 | Jaela Raniece Weaver | Counselor | 1825 E Thelborn St, West Covina, CA 91791-1442 | 2019-03-04 |
| 1356809875 | Brianna Becerra | Counselor | 1825 E Thelborn St, West Covina, CA 91791-1442 | 2019-03-04 |
| 1548743529 | Natasha Vianey Rubalcava | Counselor | 1825 E Thelborn St, West Covina, CA 91791-1442 | 2018-09-14 |
| 1295214419 | Lorraine J Hundtoft | Counselor | 1825 E Thelborn St, West Covina, CA 91791-1442 | 2018-08-08 |
| 1629590674 | Dolores Vicuna | Counselor | 1825 E Thelborn St, West Covina, CA 91791-1442 | 2017-07-12 |
| 1720444383 | Christa Marie Reiff | Counselor | 1825 E Thelborn St, West Covina, CA 91791-1442 | 2016-01-12 |
| 1003295841 | Melissa Dubriel | Counselor | 1825 E Thelborn St, West Covina, CA 91791-1442 | 2015-05-27 |
| 1629461926 | Charity Inclan | Counselor | 1825 E Thelborn St, West Covina, CA 91791-1442 | 2015-03-10 |
| 1932590593 | Crystal Saidi | Counselor | 1825 E Thelborn St, West Covina, CA 91791-1442 | 2015-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366938896 | Oriental Holistic Acupuncture Healthe Center Inc | Acupuncturist | 1414 S. Azusa Ave., Ste B-5, West Covina, CA 91791 | 2018-07-09 |
| 1780110312 | Yenmien Chen | Pharmacist | 5944 N Figueroa Ave, Los Angeles, CA 91791 | 2017-05-02 |
| 1568861227 | Gashparova Dental Practice Inc. | Dentist | 628 N. Azusa Ave., West Covina, CA 91791 | 2014-08-19 |
| 1740607837 | Melinda Rodriguez-mendoza | Nurse Practitioner | 1444 E Mcwood St, West Covina, CA 91791 | 2014-03-26 |
| 1710245782 | Mark Chevy S Ledesma | Dentist | 319 N Azusa Ave., W Covina, CA 91791 | 2012-04-27 |
| 1508184920 | Elba Cecilia Olivares | Chiropractor | 743 S. Hillward Ave, West Covina, CA 91791 | 2010-05-10 |
| 1861668832 | Susette C Thompson | Case Manager/Care Coordinator | 1829 Eworkman Ave #1, West Covina, CA 91791 | 2008-04-30 |
| 1376729483 | Accentcare Home Health of California, Inc. | Home Health | 2934 E Garvey Ave S Ste 210, West Covina, CA 91791 | 2008-01-18 |
| 1629195870 | Jung Jung Liu | Dentist | 628 North Azusa Ave, West Covina, CA 91791 | 2007-03-23 |
| 1548302748 | Mark Chevy S Ledesma Dds Inc | Dentist | 319 N Azusa Ave, W Covina, CA 91791 | 2007-02-13 |
| Find all providers in zip 91791 | ||||
| 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 |
|---|---|---|---|---|
| 1851737878 | Gilma Stephanie Martinez | Licensed Psychiatric Technician | 1693 Caffrey Ln, West Covina, CA 91791-4142 | 2013-05-16 |
| 1003372772 | Jamika Jackson | Licensed Psychiatric Technician | 1517 W Garvey Ave N, West Covina, CA 91790-2138 | 2019-02-18 |
| 1013490705 | Peggy Lee Sanchez | Licensed Psychiatric Technician | 1517 W Garvey Ave N, West Covina, CA 91790-2138 | 2018-09-10 |
| 1881100451 | Micahel Anthony Soto | Licensed Psychiatric Technician | 1517 W Garvey Ave N, West Covina, CA 91790-2138 | 2017-12-19 |
| 1639574569 | Karina Vizcarra | Licensed Psychiatric Technician | 1517 W Garvey Ave N, West Covina, CA 91790-2138 | 2014-11-04 |
| 1043631930 | Shakira Hunter | Licensed Psychiatric Technician | 1517 W Garvey Ave N, West Covina, CA 91790-2138 | 2013-12-19 |
| 1730521709 | Angela Taylor | Licensed Psychiatric Technician | 1517 W Garvey Ave N, West Covina, CA 91790-2138 | 2013-07-19 |
| 1245543511 | Ricardo Paz | Licensed Psychiatric Technician | 1517 W Garvey Ave N, West Covina, CA 91790-2138 | 2010-07-15 |
| 1326365685 | Elizabeth Castillo | Licensed Psychiatric Technician | 1517 W Garvey Ave N, West Covina, CA 91790-2138 | 2010-04-27 |
| 1306169735 | Andy Garry | Licensed Psychiatric Technician | 1517 W Garvey Ave N, West Covina, CA 91790-2138 | 2010-03-12 |
| Find all providers in WEST COVINA | ||||
| City | WEST COVINA |
| Zip Code | 91791 |
Please comment or provide details below to improve the information on CAITLIN LEANNE LOPEZ.
| 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.