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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 167G00000X | Licensed Psychiatric Technician | PT27519 | CA | Nursing Service Providers |
Street Address |
1300 S GRAND AVE |
City | SANTA ANA |
State | CA |
Zip Code | 92705-4434 |
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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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 |
Find all providers in zip 92705 |
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 |
---|---|---|---|---|
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 |
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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.