MS. TEODORA A GOLTIAO (NPI# 1063534964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063534964 |
| Entity Type | Individual |
| Full Name | MS. TEODORA A GOLTIAO |
| Credential | PSYCH TECHNICIAN |
| Practice Address |
438 N White Rd Alliance for Community Care Service Team Adult Outpati San Jose CA 95127-1439 |
| Mailing Address |
2001 The Alameda Alliance for Community Care San Jose CA 95126-1136 |
| Practice Telephone | 4082546828 |
| Practice Fax Number | 4082546838 |
| Mailing Telephone | 4082617777 |
| Mailing Fax Number | 4082549960 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | PT27607 | CA | Nursing Service Providers |
| Street Address |
438 N WHITE RD ALLIANCE FOR COMMUNITY CARE SERVICE TEAM ADULT OUTPATI |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95127-1439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225122138 | Barry Michael Gaines | Psychiatry & Neurology | 438 N White Rd, Alliance for Community Care Service Team Adult Outpatie, San Jose, CA 95127-1439 | 2006-10-03 |
| 1528680469 | Bay Area Community Health | Clinic/Center | 438 N White Rd, San Jose, CA 95127-1439 | 2020-05-14 |
| 1174164412 | Joella Marie Bernard | Registered Nurse | 438 N White Rd, San Jose, CA 95127-1439 | 2019-10-07 |
| 1164076261 | Chelsea Andrea Barabtarlo II | Case Manager/Care Coordinator | 438 N White Rd, San Jose, CA 95127-1439 | 2019-07-26 |
| 1093284697 | Urau Lino | Case Manager/Care Coordinator | 438 N White Rd, San Jose, CA 95127-1439 | 2018-11-13 |
| 1972005759 | San Jose Foothill Family Community Clinic, Inc. | Clinic/Center | 438 N White Rd, San Jose, CA 95127-1439 | 2018-03-07 |
| 1811401995 | Diana Nguyen | Case Manager/Care Coordinator | 438 N White Rd, San Jose, CA 95127-1439 | 2017-11-28 |
| 1093225351 | Shaunnetta Branham | Counselor | 438 N White Rd, San Jose, CA 95127-1439 | 2017-10-01 |
| 1285143446 | Tarhonda T Thornabar | Counselor | 438 N White Rd, San Jose, CA 95127-1439 | 2017-09-20 |
| 1124560693 | Ariana Ayala | Social Worker | 438 N White Rd, San Jose, CA 95127-1439 | 2016-11-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225635162 | Veronica Isabel Foggie | Massage Therapist | 3570 Ct, San Jose, CA 95127 | 2020-10-05 |
| 1235605528 | Melissa Ann Morgan | Case Manager/Care Coordinator | 428 N. White Rd., San Jose, CA 95127 | 2018-10-15 |
| 1386126621 | Alum Rock Counseling Center | Community/Behavioral Health | 14281 Story Road, San Jose, CA 95127 | 2018-09-04 |
| 1407359383 | Erin Rodriguez | Behavior Technician | 1593 Amesbury Way, San Jose, CA 95127 | 2018-03-16 |
| 1407209919 | Binita Dorce | Counselor | 14820 Mcvay Avenue, San Jose, CA 95127 | 2016-07-20 |
| 1851766448 | Lynn H Trieu | Pharmacist | 3200 Kawalker Ln, San Jose, CA 95127 | 2015-12-08 |
| 1184099723 | Royal Plus Home Care, Inc | In Home Supportive Care | 302-f Toyon Ave. #182, San Jose, CA 95127 | 2015-12-08 |
| 1710363916 | Chan Pham | Acupuncturist | 10048 Bethel Ave, San Jose, CA 95127 | 2015-08-11 |
| 1639574320 | Jesus I Yanez | Dentist | 100 South White Road Suite 210, San Jose, CA 95127 | 2014-10-24 |
| 1285051110 | Vinh Quang Tran | Pharmacist | 3478 Neves Way, San Jose, CA 95127 | 2014-03-28 |
| Find all providers in zip 95127 | ||||
| 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 |
|---|---|---|---|---|
| 1144716705 | Esmeralda Tinoco | Licensed Psychiatric Technician | 871 Enborg Court, San Jose, CA 95128 | 2018-07-06 |
| 1346754025 | Isata S Mbawa | Licensed Psychiatric Technician | 4987 Speak Ln, San Jose, CA 95118-2767 | 2017-11-16 |
| 1629512421 | Godwin Kebila Kaba | Licensed Psychiatric Technician | 344 Los Pinos Way, San Jose, CA 95123-5117 | 2016-12-13 |
| 1457762767 | Baltazar Pulido | Licensed Psychiatric Technician | 2459 Jubilee Ln, San Jose, CA 95131-1987 | 2014-05-08 |
| 1750404570 | Jose Soliz | Licensed Psychiatric Technician | 277 Omira Dr, San Jose, CA 95123-3635 | 2007-04-08 |
| 1437756913 | Juan Ramon Zago | Licensed Psychiatric Technician | 2221 Enborg Ln, San Jose, CA 95128-2608 | 2020-10-07 |
| 1851916415 | Zekarias Eyassu | Licensed Psychiatric Technician | 1425 Fruitdale Ave, San Jose, CA 95128-3234 | 2020-06-10 |
| 1780207571 | Andrea Hernandez | Licensed Psychiatric Technician | 1885 Lundy Ave Ste 223, San Jose, CA 95131-1888 | 2020-05-27 |
| 1700426350 | Christianna Paula Mathews | Licensed Psychiatric Technician | 2001 The Alameda, San Jose, CA 95126-1136 | 2020-01-12 |
| 1376189928 | Alma Valencia Chacon | Licensed Psychiatric Technician | 2001 The Alameda, San Jose, CA 95126-1136 | 2019-11-19 |
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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.