ANGELINA TERESE LUCERO (NPI# 1780146852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780146852 |
| Entity Type | Individual |
| Full Name | ANGELINA TERESE LUCERO |
| Practice Address |
2100 N Broadway Ste 101 Santa Ana CA 92706-2624 |
| Practice Telephone | 7142456881 |
| Mailing Telephone | 7142456881 |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2019-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | CA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 94-1735271 | 05 |
| Street Address |
2100 N BROADWAY STE 101 |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92706-2624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184871048 | Jennifer Ann Morey | Psychologist | 2100 N Broadway Ste 101, Santa Ana, CA 92706-2624 | 2008-08-22 |
| 1013525104 | Tomoaki Nakamura | Registered Nurse | 2100 N Broadway Ste 101, Santa Ana, CA 92706-2624 | 2020-07-15 |
| 1982246161 | Mette Dempster | Counselor | 2100 N Broadway Ste 101, Santa Ana, CA 92706-2624 | 2019-10-09 |
| 1366094401 | Alexandra Joan Briante | Social Worker | 2100 N Broadway Ste 101, Santa Ana, CA 92706-2624 | 2019-07-09 |
| 1326502071 | Donald Sheehan | Counselor | 2100 N Broadway Ste 101, Santa Ana, CA 92706-2624 | 2019-01-28 |
| 1023588639 | Brett Montgomery | Counselor | 2100 N Broadway Ste 101, Santa Ana, CA 92706-2624 | 2018-11-27 |
| 1548743396 | Harold Anthony Boyd | Counselor | 2100 N Broadway Ste 101, Santa Ana, CA 92706-2624 | 2018-09-07 |
| 1851883847 | Sabrina Bautista | Counselor | 2100 N Broadway Ste 101, Santa Ana, CA 92706-2624 | 2018-06-05 |
| 1285126292 | Christina Roberts | Counselor | 2100 N Broadway Ste 101, Santa Ana, CA 92706-2624 | 2018-06-05 |
| 1629574686 | Van Tran | Counselor | 2100 N Broadway Ste 101, Santa Ana, CA 92706-2624 | 2018-03-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962972448 | Naijwa Lewis | Counselor | 2100 N. Broadway Suite 101, Santa Ana, CA 92706 | 2018-11-28 |
| 1215428230 | Chances Counseling Centers LLC | Psychologist | 2727 N Bristol St, Santa Ana, CA 92706 | 2018-05-24 |
| 1366962854 | Jankee Pandya | Counselor | 2215 N. Broadway, Ste 200, Santa Ana, CA 92706 | 2017-06-26 |
| 1740719178 | Miriam Alejandro Moreno-ortiz | Counselor | 1910 N. Bush St, Santa Ana, CA 92706 | 2017-06-08 |
| 1942617790 | Janice Botzbach | Behavioral Analyst | 1912 N. Broadway Suite 108, Santa Ana, CA 92706 | 2014-07-14 |
| 1841620689 | Orange County Health Care Agency | Clinic/Center | 550 N. Flower Street, Santa Ana, CA 92706 | 2013-11-14 |
| 1740527274 | Jeremy Nishimoto | Counselor | 2100 N. Broadway Ste 101, Santa Ana, CA 92706 | 2013-01-03 |
| 1326392390 | Rosemary Sara Chesters | Marriage & Family Therapist | 921 West Seventeenth Street, Santa Ana, CA 92706 | 2012-10-30 |
| 1790032019 | Jee Hoon Ha | Dentist | 1313 W 17th St Ste B, Santa Ana, CA 92706 | 2012-08-06 |
| 1437404225 | Lisa Steele | Counselor | 1910 N. Bush, Santa Ana, CA 92706 | 2012-07-17 |
| Find all providers in zip 92706 | ||||
| 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 |
|---|---|---|---|---|
| 1962593616 | Alexis Victoria Moulton | Licensed Psychiatric Technician | 1300 S Grand Ave Ste C, Santa Ana, CA 92705-4402 | 2006-09-27 |
| 1184722316 | Jason Russel D'amico | Licensed Psychiatric Technician | 1300 S Grand Ave, Santa Ana, CA 92705-4434 | 2006-09-20 |
| 1912504531 | Jorge Alejandro Sanchez Delgado | Licensed Psychiatric Technician | 1207 E Fruit St, Santa Ana, CA 92701-4296 | 2020-10-06 |
| 1730796822 | Beth Anne Gayle Greenberg | Licensed Psychiatric Technician | 1200 N Main St Ste 300, Santa Ana, CA 92701-3625 | 2020-09-23 |
| 1710596648 | Manuel Ramone Ferdinand Jr. | Licensed Psychiatric Technician | 1910 N Bush St, Santa Ana, CA 92706-2816 | 2020-07-27 |
| 1598259632 | Vernon Leslie Castle | Licensed Psychiatric Technician | 1030 W Warner Ave, Santa Ana, CA 92707-3147 | 2018-06-21 |
| 1265698708 | Vanessa M Mccreery | Licensed Psychiatric Technician | 2130 E 4th St Ste 200, Santa Ana, CA 92705-3818 | 2008-08-04 |
| 1003905167 | Maria Del Refugio Rivera Ruiz | Licensed Psychiatric Technician | 1200 N Main St, Suite # 890, Santa Ana, CA 92701-3640 | 2006-10-12 |
| 1518068915 | Laura E. Villegas Perdomo | Licensed Psychiatric Technician | 405 W 5th St, Ste 212, Santa Ana, CA 92701-4519 | 2006-09-26 |
| 1144327842 | Lynette Dee Ewing | Licensed Psychiatric Technician | 1030 W Warner Ave, Santa Ana, CA 92707-3147 | 2006-09-17 |
| Find all providers in SANTA ANA | ||||
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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.