MRS. LONI ISHAM (NPI# 1891145033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891145033 |
| Entity Type | Individual |
| Full Name | MRS. LONI ISHAM |
| Practice Address |
511 Rustic Ct Ripon CA 95366-9507 |
| Practice Telephone | 2096128609 |
| Mailing Telephone | 2096128609 |
| Enumeration Date | 2016-06-19 |
| Last Update Date | 2016-06-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | 38233 | CA | Nursing Service Providers |
| Street Address |
511 RUSTIC CT |
| City | RIPON |
| State | CA |
| Zip Code | 95366-9507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205452315 | Affection Healthcare LLC | Clinic/Center | 1641 North Ripon Road, Ripon, CA 95366 | 2020-06-24 |
| 1760036305 | Llanell Vararaj Dental Inc | Clinic/Center | 102 South Walnut Avenue, Rippon, CA 95366 | 2019-08-01 |
| 1003322199 | Janice Huggins Valdez | Counselor | 903 Sixth St, Ripon, CA 95366 | 2017-12-27 |
| 1154590479 | Aaron D Long | Physician Assistant | 150 Vera Avenue, Ripon, CA 95366 | 2008-02-21 |
| 1598800484 | Save Mart Supermarkets | Pharmacy | 1453 Goodwin Dr, Ripon, CA 95366 | 2007-02-20 |
| 1922250158 | Bhrs | Community/Behavioral Health | 1550 W Main St, Ripon, CA 95366 | 2008-10-21 |
| 1144478801 | Kenneth D Bowman | Physician Assistant | 150 Vera Avenue, Ripon, CA 95366 | 2008-09-05 |
| 1598934812 | Travis L Wolf | Physician Assistant | 150 Vera Ave, Ripon, CA 95366 | 2008-02-21 |
| 1497198618 | Linda Vermeulen | Counselor | 1271 Spring Creek Dr, Ripon, CA 95366-2231 | 2013-04-08 |
| 1285247445 | Donald Vertrees | Physician Assistant | 904 Opal Ln, Ripon, CA 95366-2256 | 2020-08-27 |
| Find all providers in zip 95366 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
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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.