MR. JASON RUSSEL D'AMICO


Address: 1300 S Grand Ave, Santa Ana, CA 92705-4434
Phone: 7145677688

MR. JASON RUSSEL D'AMICO (NPI# 1184722316) 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) 1184722316
Entity Type Individual
Full Name MR. JASON RUSSEL D'AMICO
Credential LPT
Practice Address 1300 S Grand Ave
Santa Ana
CA 92705-4434
Mailing Address 405 W 5th St Ste 550
Santa Ana
CA 92701-4519
Practice Telephone 7145677688
Mailing Telephone 7148344707
Enumeration Date 2006-09-20
Last Update Date 2020-02-05
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 167G00000X Licensed Psychiatric Technician PT27519 CA Nursing Service Providers

Office Location

Street Address 1300 S GRAND AVE
City SANTA ANA
State CA
Zip Code 92705-4434

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013540053 Gabriel A Ramirez Case Manager/Care Coordinator 1300 S Grand Ave, Santa Ana, CA 92705-4434 2020-02-18
1093350837 Nicholas George Mamey Social Worker 1300 S Grand Ave, Santa Ana, CA 92705-4434 2019-11-15
1346890373 Maidah Hsen Community Health Worker 1300 S Grand Ave, Santa Ana, CA 92705-4434 2019-09-11
1538720073 Diego Ramirez Community Health Worker 1300 S Grand Ave, Santa Ana, CA 92705-4434 2019-06-25
1033674213 Sarah Katz Social Worker 1300 S Grand Ave, Santa Ana, CA 92705-4434 2019-02-01
1760990428 Adriana Pfeifer Case Manager/Care Coordinator 1300 S Grand Ave, Santa Ana, CA 92705-4434 2018-01-16
1124536883 Damian Alonzo Loza Case Manager/Care Coordinator 1300 S Grand Ave, Santa Ana, CA 92705-4434 2018-01-16
1689182347 Carlos Padilla Case Manager/Care Coordinator 1300 S Grand Ave, Santa Ana, CA 92705-4434 2018-01-16
1578000741 Scoba Francis Rhodes Jr. Social Worker 1300 S Grand Ave, Bldg. B, Santa Ana, CA 92705-4434 2017-01-26
1679010029 Karmen Wiseman Social Worker 1300 S Grand Ave, Bldg. C, Santa Ana, CA 92705-4434 2017-01-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952919763 John G. Alevizos, D.o., A Professional Medical Corporation Preventive Medicine 1530 East Edinger Avenue, Suite 1, Santa Ana, CA 92705 2020-07-17
1477186625 Joyce Altman Interpreters, Inc. Interpreter 1971 East 4th Street, Ste 206, Santa Ana, CA 92705 2020-02-17
1588214688 Cindy Mejia Behavior Technician 505 N. Tustin Ave., #152, Santa Ana, CA 92705 2019-09-19
1588210504 Jennifer Ang Lim-quevedo Nurse Practitioner 18362 Whitney Dr, Santa Ana, CA 92705 2019-08-15
1962056820 Melinda Acosta Black Social Worker 1526 Brookhollow Drive, Santa Ana, CA 92705 2019-07-30
1972069631 Amy Marie Elit Nurse Practitioner 1751 E Harry Ave, Santa Ana, CA 92705 2019-02-18
1386118180 Unified Behavioral Health, LLC Substance Abuse Rehabilitation Facility 1218 W Santa Ana Blvd, Santa Ana, CA 92705 2019-01-15
1952884736 Javier Perales Social Worker 1652 Windsor Ln, Santa Ana, CA 92705 2018-09-08
1073009700 Eva E Kuncewicki Marriage & Family Therapist 1001 S Grand Ave # B, Santa Ana, CA 92705 2018-07-05
1487149886 Nimbus Medtransport Inc. Non-emergency Medical Transport (VAN) 2112 E 4th St Ste 235, Santa Ana, CA 92705 2018-06-27
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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
1962593616 Alexis Victoria Moulton Licensed Psychiatric Technician 1300 S Grand Ave Ste C, Santa Ana, CA 92705-4402 2006-09-27
1912504531 Jorge Alejandro Sanchez Delgado Licensed Psychiatric Technician 1207 E Fruit St, Santa Ana, CA 92701-4296 2020-10-06
1730796822 Beth Anne Gayle Greenberg Licensed Psychiatric Technician 1200 N Main St Ste 300, Santa Ana, CA 92701-3625 2020-09-23
1710596648 Manuel Ramone Ferdinand Jr. Licensed Psychiatric Technician 1910 N Bush St, Santa Ana, CA 92706-2816 2020-07-27
1780146852 Angelina Terese Lucero Licensed Psychiatric Technician 2100 N Broadway Ste 101, Santa Ana, CA 92706-2624 2019-04-05
1598259632 Vernon Leslie Castle Licensed Psychiatric Technician 1030 W Warner Ave, Santa Ana, CA 92707-3147 2018-06-21
1265698708 Vanessa M Mccreery Licensed Psychiatric Technician 2130 E 4th St Ste 200, Santa Ana, CA 92705-3818 2008-08-04
1003905167 Maria Del Refugio Rivera Ruiz Licensed Psychiatric Technician 1200 N Main St, Suite # 890, Santa Ana, CA 92701-3640 2006-10-12
1518068915 Laura E. Villegas Perdomo Licensed Psychiatric Technician 405 W 5th St, Ste 212, Santa Ana, CA 92701-4519 2006-09-26
1144327842 Lynette Dee Ewing Licensed Psychiatric Technician 1030 W Warner Ave, Santa Ana, CA 92707-3147 2006-09-17
Find all providers in SANTA ANA

Competitor

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City SANTA ANA
Zip Code 92705

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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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