SHAWNA MARIE ACOSTA (NPI# 1477118990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477118990 |
Entity Type | Individual |
Full Name | SHAWNA MARIE ACOSTA |
Practice Address |
2008 N Garey Ave Pomona CA 91767-2722 |
Practice Telephone | 9096236131 |
Mailing Telephone | 9096236131 |
Enumeration Date | 2019-05-09 |
Last Update Date | 2019-05-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 167G00000X | Licensed Psychiatric Technician | 41283 | CA | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 167G00000X | 05 |
Street Address |
2008 N GAREY AVE |
City | POMONA |
State | CA |
Zip Code | 91767-2722 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396796058 | Wayne Edison Houpt Jr. | Psychiatry & Neurology | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2006-05-15 |
1508470071 | Melissa Banuelos | Student in an Organized Health Care Education/Training Program | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2020-09-02 |
1144834631 | Elizabeth Cristina Maciel | Student in an Organized Health Care Education/Training Program | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2020-09-02 |
1932713344 | Sara Ann Rodriguez | Student in an Organized Health Care Education/Training Program | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2020-09-02 |
1427662048 | David Marin | Counselor | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2020-09-01 |
1194337956 | Stephanie Diana Vega | Counselor | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2020-08-21 |
1205445830 | Marlen De La Torre | Counselor | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2020-07-29 |
1093354672 | Amanda Roman | Counselor | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2019-12-31 |
1063057099 | Blair Paez | Marriage & Family Therapist | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2019-11-13 |
1538703285 | Geanene Gordon | Counselor | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2019-11-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942807979 | Ayed Hawatmeh Dds Inc | Dentist | 322 E Foothill Blvd, Pomona, CA 91767 | 2020-10-02 |
1780205302 | Melanie Crystal Ramirez | Counselor | 845 East Arrow Hwy, Pomona, CA 91767 | 2020-05-05 |
1780249029 | Jean Hang | Pharmacist | 775 East Foothill Blvd, Pomona, CA 91767 | 2019-05-02 |
1679043269 | Christy Bloss | Counselor | 16029 Arrow Hwy. Suite G, Irwindale, CA 91767 | 2018-11-27 |
1740758895 | Pomona Community Health Center | Dentist | 1448 E Holt Avenue, Pomona, CA 91767 | 2018-11-07 |
1245749878 | Continental Post Acute LLC | Skilled Nursing Facility | 1912 N.san Antonio, Pomona, CA 91767 | 2017-09-26 |
1083134373 | Virginia Thompson | Counselor | 845 E. Arrow Hwy., Pomona, CA 91767 | 2017-06-27 |
1215489000 | Boys Republic - Pomona Residence | Community/Behavioral Health | 733 N Garey Ave, Pomona, CA 91767 | 2016-10-27 |
1164870499 | Karthikeyan Bhuvaneswaran | Psychiatry & Neurology | 255 E Bonita Ave Bldg Suite103, Pomona, CA 91767 | 2016-05-26 |
1679936777 | Nex's Traditional Chinese Medicine | Acupuncturist | 1150 N Garey Ave, Pomona, CA 91767 | 2016-04-05 |
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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 |
---|---|---|---|---|
1235535527 | Maya Malik | Licensed Psychiatric Technician | 6 Ridge Crest Cir, Pomona, CA 91766-4913 | 2014-11-13 |
1043841745 | Alex Sarpong | Licensed Psychiatric Technician | 2180 Valley Blvd, Pomona, CA 91768-3325 | 2020-01-31 |
1376101212 | Nelson Jose Bolanos | Licensed Psychiatric Technician | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2019-06-05 |
1073076857 | Mary Fluke | Licensed Psychiatric Technician | 2180 Valley Blvd, Pomona, CA 91768-3325 | 2019-04-09 |
1609388925 | Brenda Joyce Brown | Licensed Psychiatric Technician | 2180 Valley Blvd, Pomona, CA 91768-3325 | 2017-10-26 |
1093226417 | Chamille Seante Tate | Licensed Psychiatric Technician | 2180 Valley Blvd, Pomona, CA 91768-3325 | 2017-10-12 |
1437693728 | Nora Delia Garcia | Licensed Psychiatric Technician | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2016-12-06 |
1205379237 | Stephanie Lambourg | Licensed Psychiatric Technician | 160 E Holt Ave, B, Pomona, CA 91767-5406 | 2016-11-22 |
1619328952 | Noehly Partida | Licensed Psychiatric Technician | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2016-06-28 |
1811344781 | Jessica Angela Munoz | Licensed Psychiatric Technician | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2016-05-19 |
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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.