TARA JOY URENDA (NPI# 1346804515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346804515 |
| Entity Type | Individual |
| Full Name | TARA JOY URENDA |
| Credential | PSYCHIATRIC TECH |
| Practice Address |
200 Hillmont Ave Ventura CA 93003-1647 |
| Practice Telephone | 8056526729 |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2019-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | PT28641 | CA | Nursing Service Providers |
| Street Address |
200 HILLMONT AVE |
| City | VENTURA |
| State | CA |
| Zip Code | 93003-1647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053430108 | Ventura County Health Care Agency | Psychiatric Hospital | 200 Hillmont Ave, Ventura, CA 93003-1647 | 2007-03-28 |
| 1083238661 | Charles Agustin Jr. | Registered Nurse | 200 Hillmont Ave, Ventura, CA 93003-1647 | 2020-05-30 |
| 1225663693 | Darlene Rideaux | Registered Nurse | 200 Hillmont Ave, Ventura, CA 93003-1647 | 2020-03-06 |
| 1225682065 | Gayla Denise Mcclain | Licensed Vocational Nurse | 200 Hillmont Ave, Ventura, CA 93003-1647 | 2019-07-30 |
| 1952953408 | Miranda Naish | Registered Nurse | 200 Hillmont Ave, Ventura, CA 93003-1647 | 2019-07-15 |
| 1356993364 | Jennifer Marie Radford | Registered Nurse | 200 Hillmont Ave, Ventura, CA 93003-1647 | 2019-07-10 |
| 1487217964 | Sam Greer | Behavior Technician | 200 Hillmont Ave, Ventura, CA 93003-1647 | 2019-04-19 |
| 1528521093 | Christy Ferguson | Registered Nurse | 200 Hillmont Ave, Ventura, CA 93003-1647 | 2019-04-10 |
| 1700348356 | Daniel Andrew Diorio Jr. | Registered Nurse | 200 Hillmont Ave, Ventura, CA 93003-1647 | 2019-04-03 |
| 1730641572 | Susan Eligado | Registered Nurse | 200 Hillmont Ave, Ventura, CA 93003-1647 | 2019-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124645924 | Community Memorial Health System | Pharmacy | 2790 Loma Vista Road, Ventura, CA 93003 | 2020-06-29 |
| 1730702952 | Sarah Manon Begert | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave., Bldg 340, Ste 201, Ventura, CA 93003 | 2020-05-21 |
| 1033763677 | Ashley Danielle Aguilar | Counselor | 5740 Ralston Suite 100, Ventura, CA 93003 | 2019-08-01 |
| 1730747239 | Azadeh Ellsworth | Nurse Practitioner | 1752 S Victoria Ave Ste 250, Ventura, CA 93003 | 2019-05-31 |
| 1992275556 | Melissa Marie Cole | Social Worker | 4949 Market St, Ventura, CA 93003 | 2018-11-27 |
| 1851868400 | Weldon Acupuncture Professional Corporation | Acupuncturist | 3737 Telegraph Road, Suite F, Ventura, CA 93003 | 2018-10-31 |
| 1952876468 | Isabella Florencia Gallegos | Specialist/Technologist | 1857 Knoll Dr., Ventura, CA 93003 | 2018-10-11 |
| 1437645421 | Jill Huang Wong | Psychologist | 3585 Maple St Ste 248, Ventura, CA 93003 | 2018-07-02 |
| 1346735156 | Lisa Ngoc Thi Nguyen | Student in an Organized Health Care Education/Training Program | 147 N. Brent Street, Ventura, CA 93003 | 2018-06-25 |
| 1457845331 | Khloe Frank | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003 | 2018-06-14 |
| Find all providers in zip 93003 | ||||
| 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 |
|---|---|---|---|---|
| 1659642320 | Michael Collier | Licensed Psychiatric Technician | 5810 Ralstron St, 2nd Floor, Ventura, CA 93003 | 2012-01-26 |
| 1124209739 | Kim Sloan | Licensed Psychiatric Technician | 1650 Palma Dr Ste 101, Ventura, CA 93003-5749 | 2007-11-26 |
| 1700078607 | Fernando Carlos Dominguez Jr. | Licensed Psychiatric Technician | 300 Hillmot Ave, Ventura, CA 93003 | 2007-08-14 |
| 1407970106 | Patrick Ben Oviedo Jr. | Licensed Psychiatric Technician | 300 Hillmont, Ventura, CA 93003 | 2007-03-19 |
| 1912057357 | Elizabeth J Matt | Licensed Psychiatric Technician | 5700 Ralston St Fl 2, Ventura, CA 93003-6050 | 2007-01-10 |
| 1528496684 | Shane Steelman | Licensed Psychiatric Technician | 200 Hillmont Ave, Ventura, CA 93003-1647 | 2013-10-28 |
| 1760720403 | Alicia Sarabia | Licensed Psychiatric Technician | 200 Hillmont Ave, Ventura, CA 93003-1647 | 2013-01-30 |
| 1215289145 | Diana R. Patton | Licensed Psychiatric Technician | 4258 Telegraph Rd, Ventura, CA 93003-3706 | 2012-10-02 |
| 1427354646 | Denise Bingham | Licensed Psychiatric Technician | 300 Hillmont Ave, Ventura, CA 93003-1651 | 2011-02-04 |
| 1902107154 | Marjorie Swor | Licensed Psychiatric Technician | 300 Hillmont Ave, Ventura, CA 93003-1651 | 2010-11-04 |
| Find all providers in VENTURA | ||||
Please comment or provide details below to improve the information on TARA JOY URENDA.
| 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.