TYLER DUSTIN DIAZ (NPI# 1164887857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164887857 |
| Entity Type | Individual |
| Full Name | TYLER DUSTIN DIAZ |
| Credential | LPT |
| Practice Address |
1393 Bailey St Hanford CA 93230-5922 |
| Practice Telephone | 5596391013 |
| Mailing Telephone | 5596391013 |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2019-01-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | 37792 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427363639 | Tyler Marin Diaz | Counselor | 2350 W Shaw Ave Ste 116, Fresno, CA 93711 | 2010-08-11 |
| 1053843680 | Tyler Alexandro Diaz | Social Worker | 4045 75th St Fl 2, Elmhurst, NY 11373-1011 | 2017-04-02 |
| Street Address |
1393 BAILEY ST |
| City | HANFORD |
| State | CA |
| Zip Code | 93230-5922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083785513 | Theresa Lynn Gilliland | Nurse Practitioner | 1393 Bailey St, Hanford, CA 93230-5922 | 2006-11-13 |
| 1154934693 | Andrew Cantu | Marriage & Family Therapist | 1393 Bailey St, Hanford, CA 93230-5922 | 2020-08-25 |
| 1841803392 | Denise Amanda Rodriguez | Marriage & Family Therapist | 1393 Bailey St, Hanford, CA 93230-5922 | 2020-08-25 |
| 1619593498 | Marie Janelle Rodriguez | Licensed Psychiatric Technician | 1393 Bailey St, Hanford, CA 93230-5922 | 2020-06-17 |
| 1457995623 | Robert Millan Jr. | Marriage & Family Therapist | 1393 Bailey St, Hanford, CA 93230-5922 | 2019-10-31 |
| 1982255782 | Karri Brazel | Student in an Organized Health Care Education/Training Program | 1393 Bailey St, Hanford, CA 93230-5922 | 2019-09-23 |
| 1215589890 | Rosa Ibarra | Case Manager/Care Coordinator | 1393 Bailey St, Hanford, CA 93230-5922 | 2019-07-12 |
| 1861054066 | Danielle Ranee Bishop | Licensed Psychiatric Technician | 1393 Bailey St, Hanford, CA 93230-5922 | 2019-07-08 |
| 1437719945 | Carolina Davis | Case Manager/Care Coordinator | 1393 Bailey St, Hanford, CA 93230-5922 | 2019-06-17 |
| 1548823099 | Obed Romero | Marriage & Family Therapist | 1393 Bailey St, Hanford, CA 93230-5922 | 2019-04-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889518 | Jeremy Dane Baker | Hearing Instrument Specialist | 1413-b Bailey Dr., Hanford, CA 93230 | 2020-10-22 |
| 1891392643 | Matthew Thomas Williams | Physician Assistant | Adventist Health Hanford, 115 Mall Dr., Hanford, CA 93230 | 2020-10-05 |
| 1730795667 | Mercedes Zaragoza | Behavior Technician | 520 1ab, W. Lacey Blvd., Hanford, CA 93230 | 2020-09-16 |
| 1659989077 | Anmarie Torres | Behavior Technician | 520 1a&b W Lacey Blvd, Hanford, CA 93230 | 2020-07-22 |
| 1326506965 | Natalie Rodriguez Mejia | Marriage & Family Therapist | 1393 Bailey Drive St, Hanford, CA 93230 | 2019-03-02 |
| 1972094597 | Mariah Michelle Davila | Licensed Psychiatric Technician | 1529 W Sidonia St, Hanford, CA 93230 | 2018-05-21 |
| 1871011072 | Amanda Leann Perez | Counselor | 629 N. Irwin Street, Hanford, CA 93230 | 2017-09-07 |
| 1336667906 | Nicole Reyne Mcgowan | Case Manager/Care Coordinator | 700 N. Irwin Street, Hanford, CA 93230 | 2017-09-05 |
| 1932643251 | Diana Tran Nguyen | Midwife | 1122 N Harris St Ste 104, Hanford, CA 93230 | 2016-12-05 |
| 1770032997 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 2395 E. Lacey Blvd, Hanford, CA 93230 | 2016-09-29 |
| Find all providers in zip 93230 | ||||
| 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 |
|---|---|---|---|---|
| 1376177725 | Chanel Christine Turpin | Licensed Psychiatric Technician | 450 Kings County Dr Ste 102, Hanford, CA 93230-5782 | 2020-02-25 |
| 1972094597 | Mariah Michelle Davila | Licensed Psychiatric Technician | 1529 W Sidonia St, Hanford, CA 93230 | 2018-05-21 |
| 1710391370 | Angela Myers | Licensed Psychiatric Technician | 817 W 7th St, Hanford, CA 93230-4925 | 2014-06-11 |
| 1700119930 | Abul Qasim | Licensed Psychiatric Technician | 441 Pepper Dr, Apt # B, Hanford, CA 93230-3329 | 2009-09-04 |
| 1619593498 | Marie Janelle Rodriguez | Licensed Psychiatric Technician | 1393 Bailey St, Hanford, CA 93230-5922 | 2020-06-17 |
| 1629699533 | Minerva Garcia Acosta | Licensed Psychiatric Technician | 460 Kings County Dr Ste 101, Hanford, CA 93230-5953 | 2020-05-01 |
| 1861054066 | Danielle Ranee Bishop | Licensed Psychiatric Technician | 1393 Bailey St, Hanford, CA 93230-5922 | 2019-07-08 |
| 1518431501 | Jeanette Solorio | Licensed Psychiatric Technician | 1393 Bailey St, Hanford, CA 93230-5922 | 2019-01-14 |
| 1548751753 | Stefani Leora Hall | Licensed Psychiatric Technician | 1393 Bailey St, Hanford, CA 93230-5922 | 2018-05-23 |
| 1669915385 | Sarah Katherine Powers | Licensed Psychiatric Technician | 1393 Bailey St, Hanford, CA 93230-5922 | 2016-11-29 |
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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.