FREDDIE BUNCH (NPI# 1184961351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184961351 |
| Entity Type | Individual |
| Full Name | FREDDIE BUNCH |
| Credential | LPT |
| Practice Address |
734 10th Ave San Diego CA 92101-6502 |
| Practice Telephone | 6192394663 |
| Practice Fax Number | 6192393045 |
| Mailing Telephone | 6192394663 |
| Mailing Fax Number | 6192393045 |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2015-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | 26495 | CA | Nursing Service Providers |
| Street Address |
734 10TH AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92101-6502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528133493 | Chanda Gail Simmons | Counselor | 734 10th Ave, San Diego, CA 92101-6502 | 2006-11-23 |
| 1689273211 | Maddison Woods | Registered Nurse | 734 10th Ave, San Diego, CA 92101-6502 | 2020-10-24 |
| 1518565522 | Celia L Dudley | Licensed Vocational Nurse | 734 10th Ave, San Diego, CA 92101-6502 | 2020-10-12 |
| 1912512930 | Frederick Aguinaldo | Licensed Vocational Nurse | 734 10th Ave, San Diego, CA 92101-6502 | 2020-09-15 |
| 1447863592 | Lisa Meyer | Student in an Organized Health Care Education/Training Program | 734 10th Ave, San Diego, CA 92101-6502 | 2020-08-28 |
| 1639781529 | Karen Huie | Counselor | 734 10th Ave, San Diego, CA 92101-6502 | 2020-08-20 |
| 1093327363 | Jeska Nicole Chuaunsu | Counselor | 734 10th Ave, San Diego, CA 92101-6502 | 2020-08-18 |
| 1417568189 | Autumn Joy Leal | Counselor | 734 10th Ave, San Diego, CA 92101-6502 | 2020-08-14 |
| 1124636774 | Roxanne Nicole Pardo | Counselor | 734 10th Ave, San Diego, CA 92101-6502 | 2020-07-20 |
| 1881202000 | Karina Demi Harris | Counselor | 734 10th Ave, San Diego, CA 92101-6502 | 2020-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415472 | Ryanleo Flores | Nurse Practitioner | 2017 1st Avenue, Suite 301, San Diego, CA 92101 | 2020-10-18 |
| 1265056048 | Tilbe Yildirim | Student in an Organized Health Care Education/Training Program | 1963 Fourth Ave., San Diego, CA 92101 | 2020-06-08 |
| 1235752585 | Liminal Solutions LLC | Home Health | 845 15th Street, Floors 1-4, San Diego, CA 92101 | 2020-05-21 |
| 1699258459 | Talya Donahue | Peer Specialist | 1045 Ninth Ave, San Diego, CA 92101 | 2018-09-07 |
| 1700380086 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1850 5th Ave, San Diego, CA 92101 | 2018-03-21 |
| 1013436161 | Yasmin Galicianava | Student in an Organized Health Care Education/Training Program | 734 Tenth Ave, San Diego, CA 92101 | 2017-09-10 |
| 1487172516 | Jessica Roach | Counselor | 1045 9th Avenue, San Diego, CA 92101 | 2017-09-09 |
| 1699204099 | Lisa Nunez | Student in an Organized Health Care Education/Training Program | 1963 4th Avenue, San Diego, CA 92101 | 2017-06-08 |
| 1356882245 | Dajah Mone't Lockett | Counselor | 2535 Kettner Blvd Suite 1a4, San Diego, CA 92101 | 2017-03-13 |
| 1649718495 | Luigi Bunyi | Behavior Technician | 501 W Broadway Suite 800, San Diego, CA 92101 | 2017-02-01 |
| Find all providers in zip 92101 | ||||
| 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 |
|---|---|---|---|---|
| 1851873343 | Edward Cameron | Licensed Psychiatric Technician | 8898 Clairemont Mesa Blvd, San Diego, Ca 92, Suite H, San Diego, CA 92123 | 2018-08-31 |
| 1003966516 | Marissa M Abril | Licensed Psychiatric Technician | 427 C St Ste 212, San Diego, CA 92101-5121 | 2007-01-10 |
| 1710594742 | Ashley Nicole Gatoloai | Licensed Psychiatric Technician | 4309 3rd Ave, San Diego, CA 92103-1407 | 2020-09-24 |
| 1881229102 | Maria Virginia Gutierrez | Licensed Psychiatric Technician | 545 Laurel St, San Diego, CA 92101-1634 | 2020-03-06 |
| 1740824085 | B. Alicia Alatorre | Licensed Psychiatric Technician | 4309 3rd Ave, San Diego, CA 92103-1407 | 2019-10-30 |
| 1952819682 | Summer Yanez Hopkins | Licensed Psychiatric Technician | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2018-01-16 |
| 1841726296 | Lyshone Reeder | Licensed Psychiatric Technician | 892 27th St, San Diego, CA 92154-1444 | 2017-05-04 |
| 1639580434 | Valorie Ruka | Licensed Psychiatric Technician | 427 C St, Suite 212, San Diego, CA 92101-5100 | 2014-05-14 |
| 1003158932 | Ruby A Garcia | Licensed Psychiatric Technician | 600 B St Ste 1570, San Diego, CA 92101-4560 | 2013-03-18 |
| 1104188119 | Carolina Moreno Escoto | Licensed Psychiatric Technician | 892 27th St, San Diego, CA 92154-1444 | 2012-06-14 |
| Find all providers in SAN DIEGO | ||||
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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.