GRACE JUNKO GERARDO (NPI# 1255716098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255716098 |
Entity Type | Individual |
Full Name | GRACE JUNKO GERARDO |
Credential | LPT |
Practice Address |
226 S. Ave. 52 Los Angeles CA 90042-4504 |
Mailing Address |
226 S Ave 52 Los Angeles CA 90042-4504 |
Practice Telephone | 2138842599 |
Mailing Telephone | 2138842599 |
Enumeration Date | 2015-07-22 |
Last Update Date | 2015-07-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 167G00000X | Licensed Psychiatric Technician | Nursing Service Providers |
Street Address |
226 S. AVE. 52 |
City | LOS ANGELES |
State | CA |
Zip Code | 90042-4504 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972140432 | Oak and Stone Marriage and Family Therapy, Inc. | Marriage & Family Therapist | 5619 North Figueroa Street, #212, Los Angeles, CA 90042 | 2019-12-04 |
1730640624 | Maria Guadalupe Bykowski | Nurse Practitioner | Family Care Specialists, 5823 York Blvd, Suite #1, Los Angeles, CA 90042 | 2019-03-25 |
1366935892 | Chris Scott | Physical Therapist | 4295 Via Arbolada #103, Los Angeles, CA 90042 | 2018-06-09 |
1043744055 | Magdalene Elise Wilhelm | Counselor | 4210 Via Arbolada, Unit 313, Los Angeles, CA 90042 | 2017-04-17 |
1669918967 | Sara Semal | Counselor | 5140 1/2 York Blvd, Los Angeles, CA 90042 | 2017-01-10 |
1164977427 | Jennifer Ann Walters | Marriage & Family Therapist | 4809 York Blvd, Los Angeles, CA 90042 | 2016-08-16 |
1073922415 | Michael Gerald Bauer | Marriage & Family Therapist | 5619 N. Figueroa Street, #223, Los Angeles, CA 90042 | 2014-08-11 |
1639519770 | Adam Cloe | Pathology | 6033 Hillandale Dr, Los Angeles, CA 90042 | 2013-07-03 |
1730480682 | Stat Response Ambulance, Inc. | Secured Medical Transport (VAN) | 4750 York Blvd., Los Angeles, CA 90042 | 2010-11-09 |
1427295377 | Carmen Castellon | Dental Assistant | 5807 M Figueroa St, Los Angeles, CA 90042 | 2009-01-14 |
Find all providers in zip 90042 |
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 |
---|---|---|---|---|
1225635865 | Thalia I. Rochel | Licensed Psychiatric Technician | 450 E Temple St, Los Angeles, CA 90012-4022 | 2020-10-06 |
1548776404 | Destiny Ann Galvan | Licensed Psychiatric Technician | 679 New Hamshire Ave, Los Angeles, CA 90005 | 2017-12-14 |
1457786147 | Griselda Flores | Licensed Psychiatric Technician | 2600 Wilshire Blvd, Los Angeles, CA 90057-3400 | 2013-09-12 |
1427104728 | Leslie Michelle Blakeney | Licensed Psychiatric Technician | 529 S Maple Ave., Los Angeles, CA 90013 | 2007-01-27 |
1467064717 | Jessica Vazquez | Licensed Psychiatric Technician | 679 S New Hampshire Ave Ste 400, Los Angeles, CA 90005-1355 | 2020-08-18 |
1558996512 | Yvonne Elisa Molina | Licensed Psychiatric Technician | 470 E 3rd St Ste C, Los Angeles, CA 90013-1630 | 2020-03-10 |
1407403439 | Leanna Lynn Ramirez | Licensed Psychiatric Technician | 1711 W Temple St, Los Angeles, CA 90026-5421 | 2019-08-23 |
1992357404 | Bernadette Chavez | Licensed Psychiatric Technician | 5201 S Vermont Ave, Los Angeles, CA 90037-3527 | 2019-07-15 |
1366000556 | Tyler Shirk | Licensed Psychiatric Technician | 600 St Paul Ave Ste 200, Los Angeles, CA 90017-5686 | 2019-06-03 |
1063078202 | Wendell Sacramento | Licensed Psychiatric Technician | 679 S New Hampshire Ave, Los Angeles, CA 90005-1355 | 2019-05-14 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90042 |
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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.