EGBERT TANTIONGCO (NPI# 1427665090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427665090 |
| Entity Type | Individual |
| Full Name | EGBERT TANTIONGCO |
| Credential | PSYCH TECH, RN |
| Practice Address |
1460 E Willow St Signal Hill CA 90755-3549 |
| Practice Telephone | 3109383215 |
| Mailing Telephone | 3109383215 |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-09-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | 40362 | CA | Nursing Service Providers |
| Street Address |
1460 E WILLOW ST |
| City | SIGNAL HILL |
| State | CA |
| Zip Code | 90755-3549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790267136 | Esther Guerrero De Shepphard | Occupational Therapy Assistant | 2726 E Wall Street, Signal Hill, CA 90755 | 2018-09-01 |
| 1285150565 | Tricia Amantia | Counselor | 2248 Obisbo Ave, Suite 202, Signal Hill, CA 90755 | 2017-08-17 |
| 1477922102 | Vanessa Domush | Nurse Practitioner | 845 E. Willow St, Signal Hill, CA 90755 | 2015-09-23 |
| 1558642637 | Warren Kim | Social Worker | 845 East Willow Street, Signal Hill, CA 90755 | 2011-09-02 |
| 1730228354 | Tsai, Hsiao & Loo Dental Corporation | Dentist | 1600 E. Hill St, Signal Hill, CA 90755 | 2007-02-06 |
| 1518039726 | Ayman Aljabban Dental Corporation | Dentist | 1830 E Willow St, Signal Hill, CA 90755 | 2006-11-14 |
| 1164532768 | Costco Wholesale Corporation | Pharmacy | 2200 E Willow St, Signal Hill, CA 90755 | 2006-08-30 |
| 1578510624 | Long Beach Memorial Medical Center | Home Health | 695 E 27th St, Long Beach, CA 90755 | 2006-05-27 |
| 1073569554 | Prosthetic & Orthotic Group, Inc | Prosthetic/Orthotic Supplier | 2669 Myrtle Ave, Ste 101, Signal Hill, CA 90755 | 2006-05-26 |
| 1619416898 | Carrie Hoopfer | Pharmacist | 845 East Willow Street, Signal Hill, CA 90755 | 2017-02-21 |
| Find all providers in zip 90755 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 1902438070 | Erik Anthony Paniagua | Licensed Psychiatric Technician | 12906 Indian Ln, Norwalk, CA 90650-3313 | 2020-02-06 |
| Find all providers with the same taxonomy | ||||
| City | SIGNAL HILL |
| Zip Code | 90755 |
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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.