MRS. PATRICIA HUERTA-RUBIO (NPI# 1972828879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972828879 |
Entity Type | Individual |
Full Name | MRS. PATRICIA HUERTA-RUBIO |
Credential | LPT |
Practice Address |
40 E Minarets Ave Pinedale CA 93650-1239 |
Mailing Address |
4658 N Angus St Fresno CA 93726-0401 |
Practice Telephone | 5594360482 |
Mailing Telephone | 5594337573 |
Enumeration Date | 2010-04-02 |
Last Update Date | 2010-04-02 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 167G00000X | Licensed Psychiatric Technician | PT326687 | CA | Nursing Service Providers |
Street Address |
40 E MINARETS AVE |
City | PINEDALE |
State | CA |
Zip Code | 93650-1239 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225186133 | Martha N Adigwe-mozia | Nurse Practitioner | 40 E Minarets Ave, Pinedale, CA 93650-1239 | 2007-01-08 |
1073141172 | Perla Inzunza | Case Manager/Care Coordinator | 40 E Minarets Ave, Pinedale, CA 93650-1239 | 2020-04-01 |
1962045450 | Briseida Romero | Counselor | 40 E Minarets Ave, Pinedale, CA 93650-1239 | 2019-10-28 |
1831732080 | Katia Marilin Hawkins | Counselor | 40 E Minarets Ave, Pinedale, CA 93650-1239 | 2019-10-21 |
1588214191 | Esperanza Garcia Zavala | Case Manager/Care Coordinator | 40 E Minarets Ave, Pinedale, CA 93650-1239 | 2019-09-16 |
1750931366 | Nancy Garzon | Case Manager/Care Coordinator | 40 E Minarets Ave, Pinedale, CA 93650-1239 | 2019-09-16 |
1194373480 | Alexandra Diaz | Counselor | 40 E Minarets Ave, Pinedale, CA 93650-1239 | 2019-08-29 |
1992352249 | Sandra Martinez | Counselor | 40 E Minarets Ave, Pinedale, CA 93650-1239 | 2019-08-21 |
1386296804 | Irma Jazmin Jimenez Landeros | Counselor | 40 E Minarets Ave, Pinedale, CA 93650-1239 | 2019-07-15 |
1255993457 | Samantha Mackey | Counselor | 40 E Minarets Ave, Pinedale, CA 93650-1239 | 2019-07-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508371279 | Mariella Valladares | Counselor | 40 E Minarets, Pinedale, Ca, Pinedale, CA 93650 | 2017-12-04 |
1346627999 | Amelia Mendoza | Case Manager/Care Coordinator | 40 E Minarets Ave #1, Pinedale, CA 93650 | 2015-05-04 |
1053740001 | Darci Simms | Social Worker | 40 E Minarets, Pinedale, CA 93650 | 2013-11-09 |
1043567001 | Kyle Matthew Luis | Licensed Psychiatric Technician | 40 East Minarets, Pinedale, CA 93650 | 2012-08-09 |
1184761710 | James Molina | Rehabilitation Practitioner | 40 E. Minarets, Pinedale, CA 93650 | 2007-01-31 |
1265549588 | Robert Thomas Ensom II | Psychiatry & Neurology | 40 E. Minarets Ave, Pinedale, CA 93650 | 2006-08-23 |
1881012896 | Dolores Cruz Sandoval | Licensed Vocational Nurse | 40 E. Minarets, Pinedale, CA 93650 | 2014-04-07 |
1609902949 | Valley Care Residential | Intermediate Care Facility, Mentally Retarded | 1076 W Minarets Ave, Fresno, CA 93650-1062 | 2007-02-23 |
1588681837 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 7065 N Ingram Ave, Fresno, CA 93650-1083 | 2006-07-16 |
1245638626 | Dorothy D Tran | Pharmacist | 7065 N Ingram Ave, Fresno, CA 93650-1083 | 2014-12-16 |
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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 |
---|---|---|---|---|
1043567001 | Kyle Matthew Luis | Licensed Psychiatric Technician | 40 East Minarets, Pinedale, CA 93650 | 2012-08-09 |
1225695034 | Rufino Perez Jr. | Licensed Psychiatric Technician | 40 E Minarets Ave, Pinedale, CA 93650-1239 | 2019-05-28 |
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.