SAMUAL T. POLLOCK (NPI# 1679669667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679669667 |
| Entity Type | Individual |
| Full Name | SAMUAL T. POLLOCK |
| Credential | LPT |
| Practice Address |
2569 W Woodland Dr Anaheim CA 92801-2608 |
| Mailing Address |
2013 Charle St Apt F Costa Mesa CA 92627-5508 |
| Practice Telephone | 7142269888 |
| Mailing Telephone | 7142269888 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | LPT 29433 | CA | Nursing Service Providers |
| Street Address |
2569 W WOODLAND DR |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92801-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699726851 | Long Beach Vamc | Clinic/Center | 2569 W Woodland Dr, Anaheim, CA 92801-2608 | 2006-05-12 |
| 1982933511 | Michael Turner | Specialist | 2569 W Woodland Dr, Anaheim, CA 92801-2608 | 2009-12-10 |
| 1609020502 | Kimberly Basaker | Specialist | 2569 W Woodland Dr, Anaheim, CA 92801-2608 | 2008-11-05 |
| 1922251388 | Krystal Wang | Specialist | 2569 W Woodland Dr, Anaheim, CA 92801-2608 | 2008-10-29 |
| 1235381955 | Homer Domingo | Licensed Vocational Nurse | 2569 W Woodland Dr, Anaheim, CA 92801-2608 | 2008-10-13 |
| 1942459409 | Ann Le | Specialist | 2569 W Woodland Dr, Anaheim, CA 92801-2608 | 2008-09-09 |
| 1104075605 | Adrian Rivera | Specialist | 2569 W Woodland Dr, Anaheim, CA 92801-2608 | 2008-09-09 |
| 1831355544 | Telecare | Preferred Provider Organization | 2569 W Woodland Dr, Anaheim, CA 92801-2608 | 2008-08-01 |
| 1831352673 | Phuongdoan Lam Doan | Family Medicine | 2569 W Woodland Dr, Anaheim, CA 92801 | 2008-07-02 |
| 1235397415 | Sherry Bereki | Licensed Vocational Nurse | 2569 W Woodland Dr, Anaheim, CA 92801-2608 | 2008-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376178996 | Megalink Staffing Services Corp. | Non-emergency Medical Transport (VAN) | 780 N. Euclid St., Suite 207, Anaheim, CA 92801 | 2020-03-04 |
| 1669988630 | Munoz Urgent Care Inc. | Clinic/Center | 1741 W Romneya Dr., Suite A, Anaheim, CA 92801 | 2017-12-28 |
| 1922523257 | Enrique Esparza Jr. | Peer Specialist | 501 North Brookhurst Street, Anahiem, CA 92801 | 2017-08-08 |
| 1336689405 | Lan P. Tran | Pharmacist | 2308 W Huntington Ave, Anaheim, CA 92801 | 2017-03-08 |
| 1982065447 | Giselle Magdaleno | Marriage & Family Therapist | 505 N Euclid St #300, Anaheim, CA 92801 | 2016-03-11 |
| 1346605433 | Esther Chong | Nurse Practitioner | 710 N. Euclid St., 400, Anaheim, CA 92801 | 2015-12-16 |
| 1629441183 | Caremore Health Plan | Nurse Practitioner | 1182 N. Euclid Street, Anaheim, CA 92801 | 2015-11-05 |
| 1205208451 | Uyen Diem Ngo | Pharmacist | 1188 N. Euclid St., Anaheim, CA 92801 | 2015-10-28 |
| 1962873729 | Herb and Acu | Acupuncturist | 1737 W. Romneya Dr., Anaheim, CA 92801 | 2015-10-19 |
| 1437535721 | Yessenia Alvarado | Marriage & Family Therapist | 505 N. Euclid Street, Suite 300, Anaheim, CA 92801 | 2015-08-10 |
| Find all providers in zip 92801 | ||||
| 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 |
|---|---|---|---|---|
| 1417597030 | Mariana Vargas | Licensed Psychiatric Technician | 824 N Janss St, Anaheim, CA 92805-1847 | 2020-01-11 |
| 1972143592 | Mariana S Carrillo | Licensed Psychiatric Technician | 201 S Knott Ave Apt 3, Anaheim, CA 92804-1478 | 2020-01-11 |
| 1306970587 | Yvette Denise Lizardi | Licensed Psychiatric Technician | 2959 W Academy Ave, Anaheim, CA 92804-2038 | 2007-03-16 |
| 1932278991 | Barbara Lee Weaver | Licensed Psychiatric Technician | 1900 E. La Palma, Ste.#101, Anaheim, CA 92805 | 2006-11-06 |
| 1679076087 | Ashley Michelle Lucero | Licensed Psychiatric Technician | 2531 W Woodland Dr, Anaheim, CA 92801-2637 | 2018-03-12 |
| 1568913952 | Markeya Brown | Licensed Psychiatric Technician | 2531 W Woodland Dr, Anaheim, CA 92801-2637 | 2016-10-20 |
| 1326499138 | Yna Barnes | Licensed Psychiatric Technician | 1360 S Anaheim Blvd Ste 101, Anaheim, CA 92805-6205 | 2016-06-23 |
| 1144666413 | Zachary James Johnson | Licensed Psychiatric Technician | 2531 W Woodland Dr, Anaheim, CA 92801 | 2013-05-14 |
| 1679837041 | Shelly Becker | Licensed Psychiatric Technician | 2531 W Woodland Dr, Anaheim, CA 92801-2637 | 2012-06-29 |
| 1548562192 | Elaine Lopez | Licensed Psychiatric Technician | 2531 W Woodland Dr, Anaheim, CA 92801-2637 | 2010-12-01 |
| Find all providers in ANAHEIM | ||||
Please comment or provide details below to improve the information on SAMUAL T. POLLOCK.
| 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.