MRS. DEBRA ANN GORE (NPI# 1871738625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871738625 |
| Entity Type | Individual |
| Full Name | MRS. DEBRA ANN GORE |
| Credential | LPT |
| Practice Address |
1965 Live Oak Blvd Yuba City CA 95991-8828 |
| Practice Telephone | 5308227200 |
| Mailing Telephone | 5308227200 |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2008-12-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | PT33856 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306984646 | Debra R Gore | General Practice | 322 W North River Dr, Spokane, WA 99201-3208 | 2007-02-01 |
| Street Address |
1965 LIVE OAK BLVD |
| City | YUBA CITY |
| State | CA |
| Zip Code | 95991-8828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609851757 | Charles William Maas | Psychiatry & Neurology | 1965 Live Oak Blvd, Sutter-yuba Mental Heath Youth Services, Yuba City, CA 95991 | 2005-12-13 |
| 1376157768 | Consuelo E Sandoval-esquivel | Counselor | 1965 Live Oak Blvd, Yuba City, CA 95991-8850 | 2020-09-02 |
| 1407460827 | Dan Reyes | Counselor | 1965 Live Oak Blvd, Yuba City, CA 95991-8850 | 2020-09-02 |
| 1225648553 | Jacob Charles Pupo | Counselor | 1965 Live Oak Blvd, Yuba City, CA 95991-8850 | 2020-08-02 |
| 1427666775 | Tamara Jordan | Counselor | 1965 Live Oak Blvd, Yuba City, CA 95991-8850 | 2020-07-22 |
| 1083230965 | Tiffany Madrigal | Counselor | 1965 Live Oak Blvd, Yuba City, CA 95991-8850 | 2020-06-17 |
| 1831714955 | Lisa Novak | Registered Nurse | 1965 Live Oak Blvd, Yuba City, CA 95991-8850 | 2020-06-15 |
| 1952923252 | Alexis Rickards | Counselor | 1965 Live Oak Blvd, Yuba City, CA 95991-8850 | 2020-05-11 |
| 1295356608 | Darsenio Carter | Counselor | 1965 Live Oak Blvd, Yuba City, CA 95991-8850 | 2020-04-27 |
| 1831710243 | Bassam Chafic Khalil | Counselor | 1965 Live Oak Blvd, Yuba City, CA 95991-8850 | 2020-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326670290 | Dr. Page Hudson Dental Corporation | Dentist | 871 Gray Avenue, Suite B, Yuba City, CA 95991 | 2020-02-10 |
| 1457990756 | Amar Sohail, Dds, Inc | Dentist | 718 W. Onstott Frontage Road, Yuba City, CA 95991 | 2020-01-03 |
| 1295370203 | An M Vo | Physical Therapist | 825 Jones Road, Yuba City, CA 95991 | 2019-11-13 |
| 1720551021 | Brittany L Adams | Behavior Technician | 471 Century Dr., Ste.b, Yuba City, CA 95991 | 2019-01-09 |
| 1124538681 | Youth for Change | Clinic/Center | 1525 Plumas Court, Suites C & D, Yuba City, CA 95991 | 2017-10-10 |
| 1760902076 | Licia Dering | Behavior Technician | 1425 Tradewind Drive, Yuba City, CA 95991 | 2017-06-27 |
| 1306371059 | Hafiz Feezer Kassam | Orthopaedic Surgery | 470 Plumas Blvd Ste 201, Yuba City, CA 95991 | 2017-05-01 |
| 1912444357 | Daniel & Max, LLC | Optometrist | 444 Colusa Ave., Suite A, Yuba City, CA 95991 | 2017-01-24 |
| 1790041556 | Deanna Marie Pollock | Anesthesiology | 460 Plumas Blvd Ste 202, Yuba City, CA 95991 | 2012-04-05 |
| 1053689406 | Michael Tzung-hsun Yang | Pharmacist | 2555 Aurora Drive, Yuba City, CA 95991 | 2011-12-13 |
| Find all providers in zip 95991 | ||||
| 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 |
|---|---|---|---|---|
| 1760818900 | Sharilyn Dawn Johnson | Licensed Psychiatric Technician | 1525 Plumas Ct Ste C, Yuba City, CA 95991-2971 | 2013-09-19 |
| 1992835300 | John Hemphill | Licensed Psychiatric Technician | 1965 Live Oak Bl., Yuba City, CA 95991 | 2007-03-06 |
| 1619516929 | Joann Cornelius | Licensed Psychiatric Technician | 1965 Live Oak Blvd Ste A, Yuba City, CA 95991-8850 | 2020-01-03 |
| 1427576099 | Courtney Rowland | Licensed Psychiatric Technician | 1965 Live Oak Blvd, Yuba City, CA 95991-8850 | 2017-09-05 |
| 1568814291 | Alicia Jean Spohr | Licensed Psychiatric Technician | 1965 Live Oak Blvd, Yuba City, CA 95991-8850 | 2016-07-06 |
| 1285014209 | Silky Sharma | Licensed Psychiatric Technician | 1965 Live Oak Blvd, Yuba City, CA 95991-8850 | 2015-06-04 |
| 1215320486 | Sandra Suarez | Licensed Psychiatric Technician | 1965 Live Oak Blvd, Yuba City, CA 95991-8850 | 2015-03-12 |
| 1023421476 | Lisa Owings | Licensed Psychiatric Technician | 1965 Live Oak Blvd, Yuba City, CA 95991-8850 | 2014-06-03 |
| 1184953093 | Kristian Logan | Licensed Psychiatric Technician | 1965 Live Oak Blvd, Yuba City, CA 95992 | 2009-12-24 |
| 1295960490 | Audrey Carol Chittenden | Licensed Psychiatric Technician | 1965 Live Oak Blvd, Yuba City, CA 95991-8828 | 2009-05-18 |
| Find all providers in YUBA CITY | ||||
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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.