MISS ELISA BECERRA (NPI# 1609491935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609491935 |
| Entity Type | Individual |
| Full Name | MISS ELISA BECERRA |
| Credential | PSYCH TECH |
| Practice Address |
745 Park St Paso Robles CA 93446-2834 |
| Practice Telephone | 8057690972 |
| Mailing Telephone | 8057690972 |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2020-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | 30972 | CA | Nursing Service Providers |
| Street Address |
745 PARK ST |
| City | PASO ROBLES |
| State | CA |
| Zip Code | 93446-2834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912401241 | Avery Acupuncture & Natural Medicine Inc. | Acupuncturist | 1704 Spring St, Suite 202, Paso Robles, CA 93446 | 2018-03-21 |
| 1326597022 | Jennifer Beck | Nutritionist | 110 Hanson Rd., Paso Robles, CA 93446 | 2016-09-23 |
| 1083063465 | Jennifer Owens | Speech-Language Pathologist | 2445 Elk Point, Paso Robles, CA 93446 | 2016-06-07 |
| 1548668478 | Cherie Lou Fajardo Lamson | Pharmacist | 2305 Theathre Dr, Target Pharmacy, Paso Robles, CA 93446 | 2014-12-09 |
| 1710322292 | Teri M Warkentin | Counselor | 423 Montebello Oaks Dr., Paso Robles, CA 93446 | 2013-05-09 |
| 1396087862 | San Luis Obispo County Drug and Alcohol Services | Clinic/Center | 2545 Spring St, Paso Robles, CA 93446 | 2013-03-22 |
| 1891046173 | Donald L Stanton | Dermatology | 3432 Las Tablas Willow Creek Rd., Paso Robles, CA 93446 | 2012-09-26 |
| 1942559778 | Jeffrey W Akins | Physical Therapist | 1345 Park Street, Paso Robles, CA 93446 | 2012-09-07 |
| 1669749883 | Ami Kendra Manwaring | Social Worker | 311 Sixth Street, Templeton, CA 93446 | 2011-11-17 |
| 1275812695 | Jared C Smith | Marriage & Family Therapist | 800 Niblick Road, Paso Robles, CA 93446 | 2011-08-16 |
| Find all providers in zip 93446 | ||||
| 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 |
|---|---|---|---|---|
| 1982203592 | Leahann Vedella | Licensed Psychiatric Technician | 2398 Flatley Cir, Fairfield, CA 94533-8921 | 2020-10-23 |
| 1225635865 | Thalia I. Rochel | Licensed Psychiatric Technician | 450 E Temple St, Los Angeles, CA 90012-4022 | 2020-10-06 |
| 1427665090 | Egbert Tantiongco | Licensed Psychiatric Technician | 1460 E Willow St, Signal Hill, CA 90755-3549 | 2020-09-28 |
| 1114530250 | Heather Elizabeth Phillips | Licensed Psychiatric Technician | 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 | 2020-08-28 |
| 1841801479 | Mercedes Samantha Hamilton | Licensed Psychiatric Technician | 18465 Grand Ave, Lake Elsinore, CA 92530 | 2020-08-17 |
| 1518581099 | Theresa Lynn Stewart | Licensed Psychiatric Technician | 1110 Newport Way, Roseville, CA 95661-5315 | 2020-06-01 |
| 1093337511 | Christine Ann Scheuermann | Licensed Psychiatric Technician | 1447 Report Ave, Stockton, CA 95205-3030 | 2020-05-07 |
| 1477189512 | Sandra J Foshee | Licensed Psychiatric Technician | 48918 Mojave Dr, Morongo Valley, CA 92256-9243 | 2020-03-20 |
| 1376177725 | Chanel Christine Turpin | Licensed Psychiatric Technician | 450 Kings County Dr Ste 102, Hanford, CA 93230-5782 | 2020-02-25 |
| 1902438070 | Erik Anthony Paniagua | Licensed Psychiatric Technician | 12906 Indian Ln, Norwalk, CA 90650-3313 | 2020-02-06 |
| Find all providers with the same taxonomy | ||||
| City | PASO ROBLES |
| Zip Code | 93446 |
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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.