JOHN DARWIN BEZEMER (NPI# 1760686794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760686794 |
| Entity Type | Individual |
| Full Name | JOHN DARWIN BEZEMER |
| Credential | L.P.T. |
| Practice Address |
11512 B Ave Auburn CA 95603-2605 |
| Mailing Address |
21951 Emery Ln Colfax CA 95713-9513 |
| Practice Telephone | 9167803298 |
| Practice Fax Number | 9167803281 |
| Mailing Telephone | 9167803298 |
| Mailing Fax Number | 9167803281 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | LI20185 | CA | Nursing Service Providers |
| Street Address |
11512 B AVE |
| City | AUBURN |
| State | CA |
| Zip Code | 95603-2605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134234677 | Marie Mccullough Osborne | Social Worker | 11512 B Ave, Auburn, CA 95603-2605 | 2006-08-21 |
| 1215536313 | Randi Kellie Wademan | Community Health Worker | 11512 B Ave, Auburn, CA 95603-2605 | 2020-10-20 |
| 1891313482 | Erinn Conner-bailey | Counselor | 11512 B Ave, Auburn, CA 95603-2605 | 2020-07-09 |
| 1972126605 | Mary Shirlene Staatz | Registered Nurse | 11512 B Ave, Auburn, CA 95603-2605 | 2020-05-28 |
| 1750910741 | Kathie A Dallas | Counselor | 11512 B Ave, Auburn, CA 95603-2605 | 2020-04-02 |
| 1013541218 | Michael Shawn Guisande | Counselor | 11512 B Ave, Auburn, CA 95603-2605 | 2020-02-26 |
| 1750929790 | Virginia Rethi | Registered Nurse | 11512 B Ave, Auburn, CA 95603-2605 | 2019-12-19 |
| 1780234948 | Theresa Marie Wilson | Case Manager/Care Coordinator | 11512 B Ave, Auburn, CA 95603-2605 | 2019-09-18 |
| 1104309020 | Danielle Gold | Social Worker | 11512 B Ave, Auburn, CA 95603-2605 | 2018-09-07 |
| 1750884177 | Megan Rose Wright | Counselor | 11512 B Ave, Auburn, CA 95603-2605 | 2018-03-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487271508 | James Robert Thornton | Social Worker | 398 Rhoes View Dr, Auburn, CA 95603 | 2020-07-06 |
| 1437713674 | June Meja Razzano | Psychoanalyst | 265 Nevada Station, Auburn, CA 95603 | 2019-04-23 |
| 1689175366 | Georgia Lee Bates | Speech-Language Pathologist | 2145 Bell Road, 215, Auburn, CA 95603 | 2018-02-27 |
| 1811406085 | Veronica Evette Magana | Specialist | 11485 C Ave, Auburn, CA 95603 | 2017-09-20 |
| 1043733777 | Ken Rescate | Physical Therapist | 2145 Bell Road, #215, Auburn, CA 95603 | 2017-07-25 |
| 1730534975 | Juanita Carey | Counselor | 1190 Heritage Oak Place, Auburn, CA 95603 | 2016-04-25 |
| 1255747010 | Cara Wilber | Marriage & Family Therapist | 11512 B Avenure, Auburn, CA 95603 | 2014-07-01 |
| 1538572094 | Mark Garrison | Pharmacist | 13386 Lincoln Way, Auburn, CA 95603 | 2014-06-03 |
| 1427460583 | Tessa Jacques | Marriage & Family Therapist | 263 Nevada Station, Auburn, CA 95603 | 2014-05-23 |
| 1629497359 | Elisabeth Ann Neubert-cook | Registered Nurse | 11484 B. Avenue, Auburn, CA 95603 | 2014-04-09 |
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| 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 |
|---|---|---|---|---|
| 1578792917 | Gregory Michael Griffin | Licensed Psychiatric Technician | 446 Linden Avenue, Auburn, CA 95603 | 2009-07-07 |
| 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 |
| 1609491935 | Elisa Becerra | Licensed Psychiatric Technician | 745 Park St, Paso Robles, CA 93446-2834 | 2020-06-12 |
| 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 |
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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.