SUSANA OLIVA MENA (NPI# 1982126579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982126579 |
| Entity Type | Individual |
| Full Name | SUSANA OLIVA MENA |
| Credential | LPT |
| Practice Address |
5200 San Gabriel Pl Ste C Pico Rivera CA 90660-2498 |
| Practice Telephone | (562) 222-1331 |
| Practice Fax Number | 5622221322 |
| Mailing Telephone | 5622221331 |
| Mailing Fax Number | 5622221322 |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2017-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | 40387 | CA | Nursing Service Providers |
| Street Address |
5200 SAN GABRIEL PL STE C |
| City | PICO RIVERA |
| State | CA |
| Zip Code | 90660-2498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811430218 | Samantha Marie Chavez | Licensed Vocational Nurse | 5200 San Gabriel Pl Ste C, Pico Rivera, CA 90660-2498 | 2016-12-02 |
| 1164041653 | Sherrell Wells | Licensed Vocational Nurse | 5200 San Gabriel Pl Ste C, Pico Rivera, CA 90660-2498 | 2020-04-14 |
| 1043872351 | Randi Renee Wiley | Licensed Vocational Nurse | 5200 San Gabriel Pl Ste C, Pico Rivera, CA 90660-2498 | 2019-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073035705 | Breanna Marie Rodriguez | Social Worker | 4559 Bridgeview Avenue, Pico Rivera, CA 90660 | 2017-07-14 |
| 1538610928 | Ilce Guadalupe Lopez | Specialist | 7406 Rosemead Blvd. Apt 24, Pico Rivera, CA 90660 | 2016-10-20 |
| 1467809558 | Lizandra Vargas | Radiologic Technologist | 9414 Slauson Ave, Pico Rivera, CA 90660 | 2016-05-18 |
| 1376900340 | Cristian Gandara | Behavioral Analyst | 9625 Lochinvar Dr, Pico Rivera, CA 90660 | 2016-01-21 |
| 1306231352 | Shi Yan Xu | Acupuncturist | 9900 Tagus St., #27, Pico Rivera, CA 90660 | 2015-04-06 |
| 1174947873 | Spine & Joint Solutions | Chiropractor | 2739 Berkshire Rd, Pico Rivera, CA 90660 | 2014-02-17 |
| 1972938157 | Loreta Melkumyan | Student in an Organized Health Care Education/Training Program | 9101 Whittier Blvd., Pico Rivera, CA 90660 | 2013-09-06 |
| 1467702365 | Daisy Cruz | Counselor | 8743 Warvale St., Pico Rivera, CA 90660 | 2012-09-18 |
| 1508138850 | Laura Chow | Pharmacist | 8900 Washington Ave., Pico Rivera, CA 90660 | 2012-02-02 |
| 1386960060 | Medihand Acupuncture, Inc | Acupuncturist | 9519 Telegraph Rd. Suite A, Pico Rivera, CA 90660 | 2010-04-20 |
| Find all providers in zip 90660 | ||||
| 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 |
|---|---|---|---|---|
| 1255474896 | Cynthia Elizabeth Peters | Licensed Psychiatric Technician | 9140 Whittier Blvd, Pico Rivera, CA 90660-2444 | 2007-02-14 |
| 1922641273 | Daniel Armando Heredia | Licensed Psychiatric Technician | 9101 Whittier Blvd, Pico Rivera, CA 90660-2405 | 2019-10-18 |
| 1730651605 | Natalie Ivy Lopez | Licensed Psychiatric Technician | 9101 Whittier Blvd, Pico Rivera, CA 90660-2405 | 2018-12-17 |
| 1538552831 | Vanessa Borja | Licensed Psychiatric Technician | 9101 Whittier Blvd, Pico Rivera, CA 90660-2405 | 2015-03-10 |
| 1427363555 | Ingrid Azucena Vonjo | Licensed Psychiatric Technician | 9140 Whittier Blvd, Pico Rivera, CA 90660-2444 | 2010-08-12 |
| 1104011345 | Karlomikhail Nono Buenaseda I | Licensed Psychiatric Technician | 9140 Whittier Blvd, Pico Rivera, CA 90660-2444 | 2007-09-11 |
| 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 | ||||
| City | PICO RIVERA |
| Zip Code | 90660 |
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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.