RICHARD GUILLERMO MATEO (NPI# 1851802599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851802599 |
| Entity Type | Individual |
| Full Name | RICHARD GUILLERMO MATEO |
| Credential | CPHT |
| Practice Address |
12100 Euclid St Fl 1 Garden Grove CA 92840-3304 |
| Mailing Address |
623 Hickey Blvd Daly City CA 94015-4371 |
| Practice Telephone | 7147413430 |
| Practice Fax Number | 7147413595 |
| Mailing Telephone | 6509990899 |
| Enumeration Date | 2017-10-21 |
| Last Update Date | 2019-06-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | 153164 | CA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CA LIC. CPHT | 153164 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 Franklin Pkwy, San Mateo, CA 944031922 | 6509990899 | |
| 1190 Veterans Blvd Fl 1, Redwood City, CA 940632037 | 6502993004 | |
| 4405 Vandever Ave Fl 1, San Diego, CA 921203315 | 8335742273 | |
| 4650 Palm Ave Fl 1, San Diego, CA 921548404 | 8335742273 | |
| 6041 Cadillac Ave, Los Angeles, CA 900341702 | 8335742273 | |
| 910 Marshall St Fl 1, Redwood City, CA 940632033 | 6502992234 |
| Street Address |
12100 EUCLID ST FL 1 |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92840-3304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588283808 | Kimberly Gaeta | Behavioral Analyst | 123935 Lewis Street, Ste 202, Garden Grove, CA 92840 | 2020-04-16 |
| 1396397170 | Rosa Cortez | Behavior Technician | 12443 Lewis Street, #201, Garden Grove, CA 92840 | 2019-07-12 |
| 1376005934 | Sekboppa Sor | Nurse Practitioner | An Lanh Free Clinic, 10861 Acacia Pkwy., Garden Grove, CA 92840 | 2019-04-03 |
| 1346730116 | Vinh Le Tran | Pharmacist | 12666 Brookhurst St. Suite 110, Garden Grove, CA 92840 | 2018-05-16 |
| 1841715232 | Scott R. Blair | Physician Assistant | 12828 Harbor Blvd Ste 200, Garden Grove, CA 92840 | 2017-08-07 |
| 1881049492 | Carmen Keally | Dietitian, Registered | 12602 9th St, Garden Grove, CA 92840 | 2016-05-02 |
| 1548688732 | House Call Medical Associates, Inc. | Internal Medicine | 12865 Main St Ste 105, Garden Grove, CA 92840 | 2014-04-03 |
| 1851733059 | Carly Ann Wade | Marriage & Family Therapist | 12755 Brookhurst St. Ste 116, Garden Grove, CA 92840 | 2013-07-29 |
| 1003159864 | Priyal Shah Ohri | Dentist | 10602 Chapman Ave, Suite 200, Garden Grove, CA 92840 | 2013-03-30 |
| 1770853244 | Joseph Pham | Pharmacist | 12001 Euclid St., Garden Grove, CA 92840 | 2011-12-30 |
| Find all providers in zip 92840 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386062271 | Virginia Henkhaus | Pharmacy Technician | 13111 Sandra Pl, Garden Grove, CA 92843-1317 | 2014-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679181341 | Asma Abid Raja | Pharmacy Technician | 5351 Tenderfoot Dr, Fontana, CA 92336-1134 | 2020-07-20 |
| 1588287098 | Pia Mae Sangalang Moreno | Pharmacy Technician | 13128 Imperial Hwy, Santa Fe Springs, CA 90670-4817 | 2020-05-19 |
| 1144840547 | Siu Pang Lee | Pharmacy Technician | 970 Cayuga Ave, San Francisco, CA 94112-3222 | 2020-04-26 |
| 1326668062 | Maria Rangel | Pharmacy Technician | 1432 Michelle St, Coalinga, CA 93210-3235 | 2020-04-22 |
| 1063032894 | Anthony Tran | Pharmacy Technician | 747 52nd St Fl 3, Oakland, CA 94609-1809 | 2020-04-22 |
| 1265052054 | Daniel Babcock | Pharmacy Technician | 304 Myrtle St Unit 411, Glendale, CA 91203-3580 | 2020-04-21 |
| 1366062473 | Cadence Wong | Pharmacy Technician | 448 Kelton Ave Apt 3, Los Angeles, CA 90024-6701 | 2020-04-17 |
| 1780213140 | Jaime Eden | Pharmacy Technician | 106 Old Oak Ct, Oakley, CA 94561-2715 | 2020-04-07 |
| 1497381933 | Carol Yvonne Munoz | Pharmacy Technician | 225 S Ivy Ave # 1607, Monrovia, CA 91016-2835 | 2020-03-17 |
| 1093347775 | Ahmed Abdulkareem Abbas Alsarah | Pharmacy Technician | 1400 Richmond St, El Cerrito, CA 94530-2229 | 2020-02-10 |
| Find all providers with the same taxonomy | ||||
| City | GARDEN GROVE |
| Zip Code | 92840 |
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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.