MONICA FUENTES-RODRIGUEZ (NPI# 1609336882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609336882 |
| Entity Type | Individual |
| Full Name | MONICA FUENTES-RODRIGUEZ |
| Practice Address |
7000 N Michael Canlis Blv Stockton CA 95206 |
| Practice Telephone | 2094684550 |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2019-03-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | 37558 | CA | Nursing Service Providers |
| Street Address |
7000 N MICHAEL CANLIS BLV |
| City | STOCKTON |
| State | CA |
| Zip Code | 95206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760001051 | Family Support Home Care LLC | Home Health | 1872 Gordon Verner Cir, Stockton, CA 95206 | 2020-04-16 |
| 1003477837 | Mohit Kumar Gosai | Counselor | 2419 Ophir Street, Stockton, CA 95206 | 2019-06-24 |
| 1013431972 | Esmeralda Garcia | Behavior Technician | 4508 Janell Ln, Stockton, CA 95206 | 2017-08-01 |
| 1437672722 | Margie Belinda Nudo Aquino | Nurse Practitioner | 3518 Cape York Ct., Stockton, CA 95206 | 2017-07-19 |
| 1689125163 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2428 Warlow Ln, Stockton, CA 95206 | 2016-10-19 |
| 1891175592 | Tracy Ford | Case Manager/Care Coordinator | 1839 S El Dorado Street, Stockton, CA 95206 | 2015-06-08 |
| 1477826212 | Derrick Hardy | Driver | 3819 Wild Rose Ln, Stockton, CA 95206 | 2012-02-09 |
| 1053533117 | Roman Robles | Acupuncturist | 10 E Martin Luther King Jr., Stockton, CA 95206 | 2007-05-02 |
| 1568686830 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 1117 S Grant Street, Stockton, CA 95206 | 2007-04-11 |
| 1013078187 | Charter Way Pharmacy | Pharmacy | 201 W Charter Wy, Stockton, CA 95206 | 2006-12-13 |
| Find all providers in zip 95206 | ||||
| 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 |
|---|---|---|---|---|
| 1114530250 | Heather Elizabeth Phillips | Licensed Psychiatric Technician | 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 | 2020-08-28 |
| 1093337511 | Christine Ann Scheuermann | Licensed Psychiatric Technician | 1447 Report Ave, Stockton, CA 95205-3030 | 2020-05-07 |
| 1497167530 | Elizabeth Anne Degravio | Licensed Psychiatric Technician | 10904 Lands End Dr, Stockton, CA 95209-4289 | 2014-05-23 |
| 1801215082 | Ashlee Nicole Torres | Licensed Psychiatric Technician | 231 E Bianchi Rd, Stockton, CA 95207-7430 | 2014-04-15 |
| 1366884058 | Jill Siador | Licensed Psychiatric Technician | 3731 Carly Dr, Stockton, CA 95205-2589 | 2013-07-23 |
| 1477809929 | Milagros Moreno Mcarthur | Licensed Psychiatric Technician | 10834 Copperopolis Rd, Stockton, CA 95215-1741 | 2012-08-01 |
| 1033485495 | Thuy Huynh | Licensed Psychiatric Technician | 4545 Georgetown Place Suite A3, Stockton, CA 95207 | 2012-03-29 |
| 1124232665 | Lyndsey Marie Socha | Licensed Psychiatric Technician | 1947 N California St Ste C, Stockton, CA 95204-6029 | 2007-05-10 |
| 1851515092 | Barbara Franklin | Licensed Psychiatric Technician | 4514 Mcgaw St Apt 2, Stockton, CA 95207-8119 | 2007-04-12 |
| 1881817567 | Dolfa Lirazan Magsayo | Licensed Psychiatric Technician | 3019 Fairbury Ln, Stockton, CA 95206-6031 | 2007-04-11 |
| Find all providers in STOCKTON | ||||
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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.