ETHEL ASARE (NPI# 1417306150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417306150 |
| Entity Type | Individual |
| Full Name | ETHEL ASARE |
| Practice Address |
2080 S E St San Bernardino CA 92408-2773 |
| Practice Telephone | 9093889191 |
| Mailing Telephone | 9093889191 |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2016-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | 37340 | CA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1124100383 | 05 |
| Street Address |
2080 S E ST |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92408-2773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841291408 | Tapeesh Kansal | Psychiatry & Neurology | 2080 S E St, San Bernardino, CA 92408-2773 | 2005-08-04 |
| 1942813498 | Azar Ali | Student in an Organized Health Care Education/Training Program | 2080 S E St, San Bernardino, CA 92408-2773 | 2020-08-25 |
| 1750994489 | Adilene Samaniego | Case Manager/Care Coordinator | 2080 S E St, San Bernardino, CA 92408-2773 | 2020-08-24 |
| 1265070585 | Maria Saad | Licensed Psychiatric Technician | 2080 S E St, San Bernardino, CA 92408-2773 | 2019-12-17 |
| 1750929410 | Nicholas Anthony West | Licensed Psychiatric Technician | 2080 S E St, San Bernardino, CA 92408-2773 | 2019-12-12 |
| 1518504570 | Arthur Daniel Estrada Jr. | Case Manager/Care Coordinator | 2080 S E St, San Bernardino, CA 92408-2773 | 2019-12-09 |
| 1922649748 | Amir Raina | Case Manager/Care Coordinator | 2080 S E St, San Bernardino, CA 92408-2773 | 2019-10-02 |
| 1740830314 | Jocelyn Mendoza Sierra | Student in an Organized Health Care Education/Training Program | 2080 S E St, San Bernardino, CA 92408-2773 | 2019-09-16 |
| 1821644642 | Marisela Zuniga | Case Manager/Care Coordinator | 2080 S E St, San Bernardino, CA 92408-2773 | 2019-08-16 |
| 1619539533 | Danielle Megan Stettler | Case Manager/Care Coordinator | 2080 S E St, San Bernardino, CA 92408-2773 | 2019-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073124681 | Valeria Armentilla Cecena | Student in an Organized Health Care Education/Training Program | 1950 Sunwest Ln., San Bernardino, CA 92408 | 2020-08-17 |
| 1588272066 | Horizon Therapy Services | Physical Therapist | 418 East Vanderbilt, San Bernardino, CA 92408 | 2020-07-21 |
| 1821627639 | Bl Anderson Medical Corporation | Emergency Medicine | 473 E Carnegie Dr., Ste 200, San Bernardino, CA 92408 | 2020-04-03 |
| 1922648104 | Infinite Hope Hospice Corp | Hospice Care, Community Based | 225 W Hospitality Ln Suite 305, San Bernardino, CA 92408 | 2020-01-15 |
| 1689210775 | Inland Empire Community Outreach Center | Counselor | 473 East Carnegie Drive, Suite 200, San Bernardino, CA 92408 | 2019-11-23 |
| 1992347801 | Care Marriage and Family Therapists, Inc. | Marriage & Family Therapist | 1881 Commercenter Drive E, Suite 232, San Bernardino, CA 92408 | 2019-10-11 |
| 1366084360 | Theraville Counseling Services, A Licensed Clinical Social Worker Corp | Social Worker | 155 W Hospitality Ln Ste 245, San Bernardino, CA 92408 | 2019-10-10 |
| 1548730419 | Adriana Alcaraz | Behavior Technician | 473 E Carnegie, Ste 200, San Bernardino, CA 92408 | 2018-12-04 |
| 1811467889 | Xavier J Molina-williams | Behavior Technician | 476 E Carnegie Drive, Ste 200, San Bernardino, CA 92408 | 2018-12-03 |
| 1780153148 | Gillian Washington | Behavior Technician | 473 E Carnegie Dr, Ste 200, Riverside, CA 92408 | 2018-11-15 |
| Find all providers in zip 92408 | ||||
| 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 |
|---|---|---|---|---|
| 1487123584 | Garrett M Grigg | Licensed Psychiatric Technician | 1481 N Windsor Dr, San Bernardino, CA 92404 | 2018-11-19 |
| 1811172703 | Jasmine Shawcover | Licensed Psychiatric Technician | 1480 W Edgehill Rd, San Bernardino, CA 92405-5105 | 2008-01-09 |
| 1508493495 | Ebony Rene Venable | Licensed Psychiatric Technician | 1481 Windsor Dr, San Bernardino, CA 92404-5416 | 2020-03-23 |
| 1265070585 | Maria Saad | Licensed Psychiatric Technician | 2080 S E St, San Bernardino, CA 92408-2773 | 2019-12-17 |
| 1750929410 | Nicholas Anthony West | Licensed Psychiatric Technician | 2080 S E St, San Bernardino, CA 92408-2773 | 2019-12-12 |
| 1578120762 | Jose Alberto Montiel-flores | Licensed Psychiatric Technician | 1481 Windsor Dr, San Bernardino, CA 92404-5416 | 2019-05-22 |
| 1003479320 | Manny Brice Kelly | Licensed Psychiatric Technician | 1481 Windsor Dr, San Bernardino, CA 92404-5416 | 2019-04-22 |
| 1558825331 | Martin Seth Rodriguez | Licensed Psychiatric Technician | 1481 Windsor Dr, San Bernardino, CA 92404-5416 | 2019-01-25 |
| 1609358571 | Autumne Lachisa Williams | Licensed Psychiatric Technician | 2080 S E St, San Bernardino, CA 92408-2773 | 2018-09-06 |
| 1346791407 | Daniel Ludd | Licensed Psychiatric Technician | 2080 S E St, San Bernardino, CA 92408-2773 | 2016-10-24 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92408 |
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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.