MARIO A VENTURA (NPI# 1417591579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417591579 |
| Entity Type | Individual |
| Full Name | MARIO A VENTURA |
| Practice Address |
508 S 2nd Ave Covina CA 91723-3012 |
| Practice Telephone | 6269748123 |
| Practice Fax Number | 6269748198 |
| Mailing Telephone | 6269748123 |
| Mailing Fax Number | 6269748198 |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2019-11-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | PT33938 | CA | Nursing Service Providers |
| Street Address |
508 S 2ND AVE |
| City | COVINA |
| State | CA |
| Zip Code | 91723-3012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548398308 | Kory Leann Mcdonald | Licensed Psychiatric Technician | 508 S 2nd Ave, Covina, CA 91723-3012 | 2007-03-01 |
| 1740896083 | Alexandria Morgan Thomas | Case Manager/Care Coordinator | 508 S 2nd Ave, Covina, CA 91723-3012 | 2020-09-22 |
| 1114559960 | Sonya Marie Young | Case Manager/Care Coordinator | 508 S 2nd Ave, Covina, CA 91723-3012 | 2020-02-10 |
| 1467099465 | Fatima Amanda Chigbolu | Marriage & Family Therapist | 508 S 2nd Ave, Covina, CA 91723-3012 | 2019-12-09 |
| 1649825878 | Mary Allison Bogdis | Marriage & Family Therapist | 508 S 2nd Ave, Covina, CA 91723-3012 | 2019-08-05 |
| 1972169829 | Ziyan Yang | Case Manager/Care Coordinator | 508 S 2nd Ave, Covina, CA 91723-3012 | 2019-05-16 |
| 1649835885 | Griselda Venezian | Licensed Psychiatric Technician | 508 S 2nd Ave, Covina, CA 91723-3012 | 2019-05-02 |
| 1134784531 | Brittany Kersey | Licensed Psychiatric Technician | 508 S 2nd Ave, Covina, CA 91723-3012 | 2019-05-01 |
| 1164981338 | Jade Dalton | Case Manager/Care Coordinator | 508 S 2nd Ave, Covina, CA 91723 | 2019-03-18 |
| 1023581113 | Jose J Macias | Case Manager/Care Coordinator | 508 S 2nd Ave, Covina, CA 91723-3012 | 2019-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550593 | Joshua Mercado | Behavior Technician | 210 N. Citrus Ave., Covina, CA 91723 | 2020-08-26 |
| 1578104790 | Alda Shin Shin | Behavioral Analyst | 1343 S. Grand Avenue, Suite 200, Covina, CA 91723 | 2019-09-30 |
| 1063074490 | Julia De La Torre | Student in an Organized Health Care Education/Training Program | 540 S Eremland Drive, Covina, CA 91723 | 2019-07-05 |
| 1336639368 | Counseling Solutions for Children and Families, Psychology Corporation | Community/Behavioral Health | 271 E Workman St Ste 101, Covina, CA 91723 | 2018-05-15 |
| 1669995916 | Helen Wang Le | Optometrist | 554 E San Bernardino Rd Ste 102, Covina, CA 91723 | 2017-07-19 |
| 1992242879 | Donovan Kouthiraj | Behavior Technician | 210 N Citrus Ave Ste A1, Covina, CA 91723 | 2017-01-30 |
| 1427406339 | Robinson Baron Medical Clinic | Surgery | 274 W Badillo Street, Covina, CA 91723 | 2016-06-01 |
| 1306211123 | Absolute Senior Care Services, Inc | In Home Supportive Care | 599 S Barranca Ave Ste 205, Covina, CA 91723 | 2015-12-04 |
| 1780061135 | Mohan Ckd Clinic | Internal Medicine | 171 W Cottage St, Covina, CA 91723 | 2015-05-05 |
| 1992198915 | Toshihisa Takei | Otolaryngology | 202 West College Street, Covina, CA 91723 | 2015-03-16 |
| Find all providers in zip 91723 | ||||
| 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 |
|---|---|---|---|---|
| 1932360104 | Ze Chavarria | Licensed Psychiatric Technician | 334 E Puente St, Covina, CA 91723 | 2008-06-20 |
| 1124201397 | Rose Marie Delgado | Licensed Psychiatric Technician | 4931 N Brightview Dr, Covina, CA 91722-2116 | 2007-12-11 |
| 1548398308 | Kory Leann Mcdonald | Licensed Psychiatric Technician | 508 S 2nd Ave, Covina, CA 91723-3012 | 2007-03-01 |
| 1053451062 | Coyo Burciaga | Licensed Psychiatric Technician | 1126 N Grand Ave Ste D, Pacific Clinics, Covina, CA 91724-1552 | 2007-02-07 |
| 1578651469 | Maria E Altamirano | Licensed Psychiatric Technician | 1147 E Wingate St, Covina, CA 91724-2503 | 2006-10-10 |
| 1770113409 | Carlos Brito | Licensed Psychiatric Technician | 1161 E Covina Blvd, Covina, CA 91724-1523 | 2020-01-22 |
| 1144879370 | Ismael L. Ramirez | Licensed Psychiatric Technician | 4740 N Grand Ave, Covina, CA 91724-2005 | 2019-09-10 |
| 1649835885 | Griselda Venezian | Licensed Psychiatric Technician | 508 S 2nd Ave, Covina, CA 91723-3012 | 2019-05-02 |
| 1134784531 | Brittany Kersey | Licensed Psychiatric Technician | 508 S 2nd Ave, Covina, CA 91723-3012 | 2019-05-01 |
| 1750849295 | Sylvia Arias | Licensed Psychiatric Technician | 4740 N Grand Ave, Covina, CA 91724-2005 | 2019-03-04 |
| Find all providers in COVINA | ||||
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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.