ROSALINA A CAMPOS (NPI# 1477874857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477874857 |
| Entity Type | Individual |
| Full Name | ROSALINA A CAMPOS |
| Credential | LPT |
| Practice Address |
3467 W Shaw Ave Suite #101 Fresno CA 93711-3223 |
| Mailing Address |
1909 N Waukena Way Hanford CA 93230-2135 |
| Practice Telephone | 5593492238 |
| Mailing Telephone | 5597728352 |
| Enumeration Date | 2010-06-19 |
| Last Update Date | 2010-06-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | PT31749 | CA | Nursing Service Providers |
| Street Address |
3467 W SHAW AVE SUITE #101 |
| City | FRESNO |
| State | CA |
| Zip Code | 93711-3223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225171473 | Lai Lani Jones | Case Manager/Care Coordinator | 3467 W Shaw Ave, Suite 100, Fresno, CA 93711-3223 | 2007-02-15 |
| 1013330232 | Marcia Barron | Case Manager/Care Coordinator | 3467 W Shaw Ave, Ste. #101, Fresno, CA 93711-3223 | 2014-01-23 |
| 1467793687 | Emily Roellke | Case Manager/Care Coordinator | 3467 W Shaw Ave, Suite #101, Fresno, CA 93711-3223 | 2013-03-13 |
| 1952612012 | Sugar J Watkins | Licensed Vocational Nurse | 3467 W Shaw Ave, Suite #100, Fresno, CA 93711-3223 | 2010-06-23 |
| 1881915429 | Marcia Walls | Case Manager/Care Coordinator | 3467 W Shaw Ave, Suite #101, Fresno, CA 93711-3223 | 2010-06-17 |
| 1154642874 | Victoria Rodriguez | Case Manager/Care Coordinator | 3467 W Shaw Ave, Suite # 101, Fresno, CA 93711-3223 | 2010-06-16 |
| 1568781839 | Nancy Williams | Licensed Vocational Nurse | 3467 W Shaw Ave, Suite # 100, Fresno, CA 93711-3223 | 2010-05-25 |
| 1689807489 | Isabel Mendoza | Case Manager/Care Coordinator | 3467 W Shaw Ave, Suite #100, Fresno, CA 93711-3223 | 2009-08-26 |
| 1629200837 | Severo Rosales Jr. | Case Manager/Care Coordinator | 3467 W Shaw Ave, Suite # 102, Fresno, CA 93711-3223 | 2009-08-20 |
| 1801028238 | Rebecca Blair | Licensed Vocational Nurse | 3467 W Shaw Ave, Suite # 102, Fresno, CA 93711-3223 | 2009-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104464684 | Kazi Shafiul Moula | Dentist | Western Dental/ Brident 150bfo, 3077 W Shaw Ave, Fresno, CA 93711 | 2019-12-16 |
| 1760037063 | Armine Petrosyan | Nurse Practitioner | 427 W Beford Ave Suite 103, Fresno, CA 93711 | 2019-08-05 |
| 1912489360 | Shoua Nelson | Nurse Practitioner | 2490 W. Shaw Avenue Suite 101, Fresno, CA 93711 | 2018-09-02 |
| 1245725506 | Promesa Behavioral Health-barstow | Community Based Residential Treatment Facility, Mental Illness | 1415 W Barstow Ave, Fresno, CA 93711 | 2018-06-28 |
| 1407344138 | Aidan Mechem | Behavior Technician | 5140 N. Fruit Avene, Fresno, CA 93711 | 2018-04-27 |
| 1841798840 | Michael Ramos IIi | Behavior Technician | 1690 N Shaw Ave, 102, Fresno, CA 93711 | 2018-01-25 |
| 1962913467 | Dhara Devendrakumar Patel | Pharmacist | 740 West Alluvial Avenue, Suite 101, Fresno, CA 93711 | 2017-10-24 |
| 1588183636 | Bianca Arteaga | Counselor | 7485 N. Palm Ave., Suite 103, Fresno, CA 93711 | 2017-09-10 |
| 1346763158 | Powell Pediatric Dentistry Ingram Partnership | Dentist | 7761 N Ingram Ave, Suite 101, Fresno, CA 93711 | 2017-07-24 |
| 1982124202 | Justine Syera Balbas | Counselor | 2766 W. Celeste Ave., Unit 103, Fresno, CA 93711 | 2017-06-27 |
| Find all providers in zip 93711 | ||||
| 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 |
|---|---|---|---|---|
| 1619370004 | Phyllis Rodriguez | Licensed Psychiatric Technician | 496 S Barton Ave, Fresno, CA 93702-2985 | 2014-09-30 |
| 1649570458 | Kimberly Hudspeth | Licensed Psychiatric Technician | 1148 W Gettysburg Ave, Fresno, CA 93705-0933 | 2010-10-26 |
| 1871748657 | Steven Ralph Colwell | Licensed Psychiatric Technician | 637 W Hammond Ave, Fresno, CA 93728-2200 | 2008-11-20 |
| 1356404602 | Joseph Exnicious Jules | Licensed Psychiatric Technician | 1312 E Garland Ave, Fresno, CA 93704-4938 | 2006-12-18 |
| 1871100248 | Tanveer Hans | Licensed Psychiatric Technician | 4411 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-09-29 |
| 1366069577 | Ulysses Ruvalcaba | Licensed Psychiatric Technician | 4411 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-07-03 |
| 1750908141 | Brooke Annette Denham | Licensed Psychiatric Technician | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-07-01 |
| 1376178509 | Michelle Mendez | Licensed Psychiatric Technician | 1235 E St, Fresno, CA 93706-2024 | 2020-03-09 |
| 1801426630 | Shaylee Maxfield | Licensed Psychiatric Technician | 4411 E Kings Canyon Rd # 319, Fresno, CA 93702-3604 | 2020-01-21 |
| 1740828094 | Eric Okafor | Licensed Psychiatric Technician | 496 S Barton Ave, Fresno, CA 93702-2985 | 2019-12-18 |
| Find all providers in FRESNO | ||||
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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.