CARLOS ESCOBAR (NPI# 1518416981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518416981 |
| Entity Type | Individual |
| Full Name | CARLOS ESCOBAR |
| Credential | PT36298 |
| Practice Address |
303 E Vanderbilt Way San Bernardino CA 92415-0026 |
| Practice Telephone | 9094633977 |
| Mailing Telephone | 9094633977 |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2016-10-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013196914 | Carlos Escobar | Dentist | 784 Us Highway 1 Ste 10, North Palm Beach, FL 33408-4411 | 2007-10-26 |
| 1215079736 | Carlos Alberto Escobar | Surgery | 6460 Highway 92, Ste 200, Acworth, GA 30102-2998 | 2007-02-12 |
| 1851951404 | Carlos Escobar | Case Manager/Care Coordinator | 311 N Douty St, Hanford, CA 93230-3951 | 2019-06-17 |
| 1053802124 | Carlos E Escobar | Counselor | 3491 Gandy Blvd N Ste 201, Pinellas Park, FL 33781-2654 | 2018-05-24 |
| 1982617841 | Carlos E Escobar | Psychiatry & Neurology | 1901 N Us Highway 87, Big Spring, TX 79720-0283 | 2006-08-14 |
| Street Address |
303 E VANDERBILT WAY |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92415-0026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730158098 | William Walter Henning | Family Medicine | 303 E Vanderbilt Way, San Bernardino, CA 92408-3526 | 2006-03-17 |
| 1477167732 | Victoria Frances Hall | Community Health Worker | 303 E Vanderbilt Way, San Bernardino, CA 92415-0026 | 2020-09-03 |
| 1659985927 | Rachel Cierpich | Community Health Worker | 303 E Vanderbilt Way, San Bernardino, CA 92415-0026 | 2020-09-03 |
| 1396359881 | Jacqueline Duenez | Community Health Worker | 303 E Vanderbilt Way, San Bernardino, CA 92415-0026 | 2020-09-02 |
| 1417561846 | Lileana Lopez | Community Health Worker | 303 E Vanderbilt Way, San Bernardino, CA 92415-0026 | 2020-09-02 |
| 1710459052 | Diane Suzan Brantmeyer | Registered Nurse | 303 E Vanderbilt Way, San Bernardino, CA 92415-0026 | 2018-12-27 |
| 1528559333 | County of San Bernardino | Clinic/Center | 303 E Vanderbilt Way, San Bernardino, CA 92415-0026 | 2018-05-29 |
| 1912429671 | Janette Marie Herrera | Counselor | 303 E Vanderbilt Way, San Bernardino, CA 92415-0026 | 2017-07-13 |
| 1699211987 | Joanne Mitchell | Case Manager/Care Coordinator | 303 E Vanderbilt Way, San Bernardino, CA 92415-0026 | 2017-01-11 |
| 1154770808 | Ngoc-minh Pham | Psychiatry & Neurology | 303 E Vanderbilt Way, San Bernardino, CA 92415-1801 | 2016-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578041042 | Karina Judith Barragan | Student in an Organized Health Care Education/Training Program | 19500 South Sunwest Lane, San Bernardino, CA 92415 | 2018-08-06 |
| 1841714839 | Layla Subhani | Marriage & Family Therapist | 780 E Gilbert Street, Bldg H, San Bernardino, CA 92415 | 2017-08-01 |
| 1023546637 | Angelica Ruiz | Marriage & Family Therapist | 900 E. Gilbert Street, Cottage 4, San Bernardino, CA 92415 | 2017-05-25 |
| 1750825030 | Jordyn Ackerman | Marriage & Family Therapist | 900 E Gilbert Street, Cottage 4, San Bernardino, CA 92415 | 2016-12-06 |
| 1083063663 | San Bernardino County Department of Public Health | Public Health or Welfare | 1505 South D Street, San Bernardino, CA 92415 | 2016-06-06 |
| 1366821233 | Jodi Cerney | Counselor | 1950 S. Sunwest Lane, Suite #200, San Bernardino, CA 92415 | 2015-05-26 |
| 1427442268 | Yessenia Cruz | Case Manager/Care Coordinator | 780 E Gilbert St Bldg H, San Bernardino, CA 92415 | 2015-03-18 |
| 1861808859 | Hector Armando Ortega | Student in an Organized Health Care Education/Training Program | 1950 S. Sunwest Ln., Rialto, CA 92415 | 2014-07-10 |
| 1437564762 | Ashlee Barker | Marriage & Family Therapist | 900 E Gilbert St. Cottage 4, San Bernardino, CA 92415 | 2014-06-25 |
| 1669802708 | County of San Bernardino | In Home Supportive Care | 784 E Hospitality Ln, San Bernardino, CA 92415 | 2013-11-26 |
| Find all providers in zip 92415 | ||||
| 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 | 92415 |
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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.