GREGORY FULLANTE


Address: 8413 Palais Rd, Stanton, CA 90680-1718
Phone: 7146519560

GREGORY FULLANTE (NPI# 1063871580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063871580
Entity Type Individual
Full Name GREGORY FULLANTE
Practice Address 8413 Palais Rd
Stanton
CA 90680-1718
Practice Telephone 7146519560
Mailing Telephone 7146519560
Enumeration Date 2016-02-11
Last Update Date 2016-02-11
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 167G00000X Licensed Psychiatric Technician 37338 CA Nursing Service Providers

Office Location

Street Address 8413 PALAIS RD
City STANTON
State CA
Zip Code 90680-1718

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962978429 Mountain View Hospice Hospice Care, Community Based 12235 Beach Blvd., Suite 205c, Stanton, CA 90680 2018-10-22
1073983250 Jennifer Van Dental Hygienist 10882 Cedar Street, Stanton, CA 90680 2015-10-01
1780097915 Chris G Kim Acupuncturist 7731 Katella Ave #b, Stanton, CA 90680 2014-06-05
1982035069 San Blas Medical Clinic General Practice 7777 Katella Avenue, Stanton, CA 90680 2013-11-27
1487969861 Dean Tran, D.o., Inc Clinic/Center 11418 1/2 Renaissance Way, Stanton, CA 90680 2010-08-10
1255562229 Ability Center Durable Medical Equipment & Medical Supplies 11600 Western Ave, Stanton, CA 90680 2009-08-07
1235369786 Diem-trinh Maria Nguyen Dentist 532 E Chapman, Orange, CA 90680 2009-07-17
1932315959 Esther L Sy Dentist 10468 Beach Boulevard, Stanton, CA 90680 2007-05-15
1255409694 Minh Duc Nguyen Dentist 12880 Beach Blvd, Stuite Aa, Stanton, CA 90680 2006-12-02
1780750612 Go Diagnostics Inc Specialist/Technologist, Other 7159 Katella Ave, Stanton, CA 90680 2006-11-24
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Taxonomy Information

Taxonomy Code 167G00000X
Grouping Nursing Service Providers
Classification Licensed Psychiatric Technician

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396178851 Julie N Tran Licensed Psychiatric Technician 7822 Santa Barbara Ave, Stanton, CA 90680-3519 2013-08-19

Providers in the same taxonomy and state

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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Competitor

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City STANTON
Zip Code 90680

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Dataset Information

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.

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