MR. CHARLES PAUL HASTINGS (NPI# 1770629693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770629693 |
| Entity Type | Individual |
| Full Name | MR. CHARLES PAUL HASTINGS |
| Credential | L.P.T. |
| Practice Address |
4368 Lincoln Ave Attention Nursing Office Oakland CA 94602-2529 |
| Mailing Address |
5851 Vallejo St Apt D Emeryville CA 94608-2636 |
| Practice Telephone | 5104857133 |
| Practice Fax Number | 8662905239 |
| Mailing Telephone | 5106523708 |
| Enumeration Date | 2007-01-29 |
| 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 | PT26243 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700090198 | Charles Hastings | Massage Therapist | 97 India St, Portland, ME 04101-4248 | 2007-05-09 |
| 1780627190 | Charles John Hastings | Podiatrist | 301 W Huntington Dr Ste 300, Arcadia, CA 91007-1527 | 2006-06-14 |
| 1386734010 | Charles William Hastings | Pharmacist | 13894 Northline Rd, Southgate, MI 48195-1803 | 2006-10-13 |
| 1659394740 | Charles Wendling Hastings | Dermatology | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2006-07-26 |
| 1164421087 | Charles R Hastings | Counselor | 3541 N Crossing Cir, Valdosta, GA 31602-1019 | 2005-07-21 |
| Street Address |
4368 LINCOLN AVE ATTENTION NURSING OFFICE |
| City | OAKLAND |
| State | CA |
| Zip Code | 94602-2529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730266164 | Michael Semsky | Social Worker | 4368 Lincoln Ave, Oakland, CA 94602-2529 | 2006-11-01 |
| 1487002630 | Claudia Elizabeth Santuario | Student in an Organized Health Care Education/Training Program | 4368 Lincoln Ave, Oakland, CA 94602-2529 | 2016-05-28 |
| 1205208444 | Felicia Ann Carter | Social Worker | 4368 Lincoln Ave, Oakland, CA 94602-2529 | 2015-10-27 |
| 1114395191 | Tia Barnes | Marriage & Family Therapist | 4368 Lincoln Ave, Oakland, CA 94602-2529 | 2015-09-09 |
| 1811364839 | Belinda Greenwood | Counselor | 4368 Lincoln Ave, Oakland, CA 94602-2529 | 2015-08-25 |
| 1275909640 | Zena Rachelle Caputo | Student in an Organized Health Care Education/Training Program | 4368 Lincoln Ave, Oakland, CA 94602-2529 | 2015-08-19 |
| 1720454143 | Sarah Anne Almeida | Psychologist | 4368 Lincoln Ave, Oakland, CA 94602-2529 | 2015-08-19 |
| 1457727869 | Michaela Coates | Marriage & Family Therapist | 4368 Lincoln Ave, Oakland, CA 94602-2529 | 2015-08-19 |
| 1174999809 | Marina Clarisse Antonio | Student in an Organized Health Care Education/Training Program | 4368 Lincoln Ave, Oakland, CA 94602-2529 | 2015-08-17 |
| 1720487895 | Azita Munsif Azizi | Social Worker | 4368 Lincoln Ave, Oakland, CA 94602-2529 | 2014-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376151845 | Nicholas Collins Pac Lac Inc | Acupuncturist | 3433 Brunell Dr, Oakland, CA 94602 | 2020-07-21 |
| 1225667850 | Elaine Dellinger | Student in an Organized Health Care Education/Training Program | Highland Hospital 1411 East 31st Street, Qic 22123, Oakland, CA 94602 | 2020-04-06 |
| 1356804033 | Jayakala Lakireddy | Student in an Organized Health Care Education/Training Program | Dept of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2019-04-10 |
| 1750844585 | Kirea J Mazzolini | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2019-04-09 |
| 1912478587 | Joie Mazor | Chiropractor | 3201 Macarthur Blvd., Oakland, CA 94602 | 2018-12-07 |
| 1114424884 | Jesse Santos | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2018-04-10 |
| 1679078646 | Tia Vang | Student in an Organized Health Care Education/Training Program | 1411 E. 31st Street 2nd Flr A2, Oakland, CA 94602 | 2018-03-29 |
| 1942704101 | Michael Mian | Student in an Organized Health Care Education/Training Program | 1411 E 31st St, Qic 22123, Oakland, CA 94602 | 2018-03-22 |
| 1063916575 | Charisma Kaushik | Student in an Organized Health Care Education/Training Program | 1411 East 31st Street, Qic 22123, Oakland, CA 94602 | 2018-03-20 |
| 1841711363 | David Christopher Carroll | Pharmacist | 1411 E. 31st Street, Oakland, CA 94602 | 2017-07-06 |
| Find all providers in zip 94602 | ||||
| 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 |
|---|---|---|---|---|
| 1518589662 | Carol Lynn Davis | Licensed Psychiatric Technician | 7200 Bancroft Ave Ste 133, Oakland, CA 94605-2480 | 2020-05-12 |
| 1073134581 | Matthew Mendez | Licensed Psychiatric Technician | 5275 Claremont Ave, Oakland, CA 94618-1032 | 2020-05-06 |
| 1699317628 | Tameka R Purnell | Licensed Psychiatric Technician | 280 17th St, Oakland, CA 94612-4124 | 2019-10-10 |
| 1841507753 | Will E Gillyard | Licensed Psychiatric Technician | 2620 26th Ave, Oakland, CA 94601-1907 | 2010-09-13 |
| 1659418911 | Carol Ann Upton | Licensed Psychiatric Technician | 280 17th St, Oakland, CA 94612-4124 | 2007-01-30 |
| 1720145923 | Luis Manuel Diaz | Licensed Psychiatric Technician | 7200 Bancroft Ave, Eastmont Town Center Bldg. B Suite 133, Oakland, CA 94605-2403 | 2007-01-03 |
| 1336206572 | Marie Ann Long | Licensed Psychiatric Technician | 7200 Bancroft Ave, Eastmont Town Center Bldg. B Suite 133, Oakland, CA 94605-2403 | 2007-01-03 |
| 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.