JEANETTE PENA (NPI# 1700296357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700296357 |
| Entity Type | Individual |
| Full Name | JEANETTE PENA |
| Practice Address |
11731 Telegraph Rd Santa Fe Springs CA 90670-3675 |
| Mailing Address |
12016 Arlee Ave Norwalk CA 90650-2429 |
| Practice Telephone | 5629498455 |
| Mailing Telephone | 5624123353 |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2014-05-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | PT37341 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538210950 | Jeanette Pena | Chiropractor | 620 Alabama St, Redlands, CA 92373-8059 | 2007-01-13 |
| Street Address |
11731 TELEGRAPH RD |
| City | SANTA FE SPRINGS |
| State | CA |
| Zip Code | 90670-3675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194864256 | Leticia Gutierrez-lopez | Psychologist | 11731 Telegraph Rd, Building G, Santa Fe Springs, CA 90670-3675 | 2007-02-05 |
| 1376175802 | Lisa Renae Calderilla | Licensed Psychiatric Technician | 11731 Telegraph Rd, Santa Fe Springs, CA 90670-3675 | 2020-02-12 |
| 1053943746 | Rose Marie Guerrero | Licensed Vocational Nurse | 11731 Telegraph Rd, Santa Fe Springs, CA 90670-3675 | 2020-02-10 |
| 1093247025 | Jacqueline Rose Gutierrez | Counselor | 11731 Telegraph Rd, Santa Fe Springs, CA 90670-3675 | 2017-03-29 |
| 1306399308 | Jenny Rodriguez | Counselor | 11731 Telegraph Rd, Santa Fe Springs, CA 90670-3675 | 2016-07-27 |
| 1407200256 | Melissa Kay Ricard-cruz | Counselor | 11731 Telegraph Rd, Santa Fe Springs, CA 90670-3675 | 2016-04-18 |
| 1003279548 | Dalia Dauod Fullingim | Counselor | 11731 Telegraph Rd, Santa Fe Springs, CA 90670-3675 | 2016-04-01 |
| 1730547126 | Juanita Maria Barron | Licensed Psychiatric Technician | 11731 Telegraph Rd, Santa Fe Springs, CA 90670-3675 | 2016-02-01 |
| 1326424359 | Cecilia Navarro Bravo | Counselor | 11731 Telegraph Rd, Santa Fe Springs, CA 90670-3675 | 2015-07-31 |
| 1851785679 | Chelsea Kristine Russell | Counselor | 11731 Telegraph Rd, Santa Fe Springs, CA 90670-3675 | 2015-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588283279 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 11721 East Telegraph Road Unit I, Santa Fe Springs, CA 90670 | 2020-04-13 |
| 1487205563 | Jurrell Davis | Counselor | 16332 Marvene Dr., Santa Fe Springs, CA 90670 | 2019-09-20 |
| 1003370065 | Amber D Perez-riggins | Counselor | 11015 Bloomfiled Ave, Santa Fe Springs, CA 90670 | 2019-01-24 |
| 1154832749 | Los Angeles Center for Alcohol and Drug Abuse | Clinic/Center | 12580 Lakeland Road, Santa Fe Springs, CA 90670 | 2017-10-23 |
| 1518481001 | Cecilia Bueno | Case Manager/Care Coordinator | 11721 Telegraph Rd, Santa Fe Springs, CA 90670 | 2017-07-27 |
| 1447773148 | Richard Paige | Counselor | 10425 S. Painter Ave., Santa Fe Springs, CA 90670 | 2017-07-25 |
| 1326578709 | Mariah Patricia Ramirez | Counselor | 11741 Telegraph Rd Ste A-d, Santa Fe Springs, CA 90670 | 2017-06-18 |
| 1578947446 | Robynn Coleman | In Home Supportive Care | 10510 Maple Lane, Santa Fe Springs, CA 90670 | 2015-07-10 |
| 1003218314 | Norma Gonzalez | Case Manager/Care Coordinator | 11741 E. Telegraph Road, Santa Fe Springs, CA 90670 | 2014-09-17 |
| 1932510617 | Antonio Matinez Sr. | Rehabilitation Practitioner | 10012 Norwalk Blvd Suite 140, Santa Fe Springs, CA 90670 | 2014-05-15 |
| Find all providers in zip 90670 | ||||
| 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 |
|---|---|---|---|---|
| 1417494709 | Jesse Maldonado | Licensed Psychiatric Technician | 11025 Ringwood Ave, Santa Fe Springs, CA 90670-4337 | 2017-01-24 |
| 1376175802 | Lisa Renae Calderilla | Licensed Psychiatric Technician | 11731 Telegraph Rd, Santa Fe Springs, CA 90670-3675 | 2020-02-12 |
| 1497214795 | Jose Luis Trinidad | Licensed Psychiatric Technician | 11721 Telegraph Rd, Santa Fe Springs, CA 90670-3674 | 2019-03-16 |
| 1053870345 | Adrian Paolo Ternora | Licensed Psychiatric Technician | 11721 Telegraph Rd Ste A, Santa Fe Springs, CA 90670-6835 | 2019-03-15 |
| 1528543139 | Lourdes Magdalena Gomez | Licensed Psychiatric Technician | 11721 Telegraph Rd, Santa Fe Springs, CA 90670-3674 | 2018-09-28 |
| 1912418906 | Andres Vasquez | Licensed Psychiatric Technician | 11741 Telegraph Rd, Santa Fe Springs, CA 90670-3681 | 2017-10-17 |
| 1447761465 | Diane Mascarenas | Licensed Psychiatric Technician | 11741 Telegraph Rd, Santa Fe Springs, CA 90670-3681 | 2017-10-17 |
| 1730547126 | Juanita Maria Barron | Licensed Psychiatric Technician | 11731 Telegraph Rd, Santa Fe Springs, CA 90670-3675 | 2016-02-01 |
| 1952790255 | Patricia Ramos I | Licensed Psychiatric Technician | 11741 Telegraph Rd, Santa Fe Springs, CA 90670-3681 | 2015-01-10 |
| 1215352968 | Amairani Danae Flores | Licensed Psychiatric Technician | 11721 Telegraph Rd, Santa Fe Springs, CA 90670-3674 | 2014-03-04 |
| Find all providers in SANTA FE SPRINGS | ||||
| City | SANTA FE SPRINGS |
| Zip Code | 90670 |
Please comment or provide details below to improve the information on JEANETTE PENA.
| 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.