MARY LEONA FISHER (NPI# 1457797862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457797862 |
| Entity Type | Individual |
| Full Name | MARY LEONA FISHER |
| Credential | 16/1964 |
| Practice Address |
151 Kalmus Dr Ste K3 Costa Mesa CA 92626-5975 |
| Mailing Address |
115 Paseo De La Serenata San Clemente CA 92672-4351 |
| Practice Telephone | 7143843870 |
| Mailing Telephone | 9498420569 |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2013-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | 23452 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770860140 | Mary Sue Fisher | Pharmacist | 14348 Murphy Cir W, Carmel, IN 46074-1101 | 2011-11-13 |
| 1316182710 | Mary Fisher | Occupational Therapist | 1000 South Ave Ste Ll2, Staten Island, NY 10314-3430 | 2008-12-13 |
| 1972750685 | Mary Grace Fisher | Nurse Practitioner | 141 Piedmont Avenue, Suite D, Georgia State University, Atlanta, GA 30303 | 2008-08-25 |
| 1639373343 | Mary Fisher | Speech-Language Pathologist | 3421 W Davis St Ste 210, Conroe, TX 77304-1846 | 2007-06-14 |
| 1417059635 | Mary Jill Fisher | Counselor | 1107 White St, Mccomb, MS 39648-2957 | 2006-09-01 |
| 1861401630 | Mary Margaret Fisher | Social Worker | 1222 Rochester Ave, Iowa City, IA 52245-3128 | 2006-08-07 |
| 1134144306 | Mary Beth Fisher | Nurse Practitioner | 451 James Madison Hwy, Suite 104, Culpeper, VA 22701-2360 | 2006-07-12 |
| 1184610784 | Mary V Fisher | Optometrist | 1626 N Litchfield Rd Ste 110, Goodyear, AZ 85395-1399 | 2005-09-20 |
| 1508869058 | Mary M Fisher | Dentist | 6010 W Maple Rd, Ste 210, West Bloomfield, MI 48322-4406 | 2005-05-28 |
| 1518483155 | Mary Ann Fisher | Social Worker | 1601 23rd Ave S, Nashville, TN 37212-3133 | 2017-08-16 |
| Street Address |
151 KALMUS DR STE K3 |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92626-5975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023399003 | Penelope Salinger | Social Worker | 151 Kalmus Dr Ste K3, Costa Mesa, CA 92626-5975 | 2011-09-02 |
| 1568877900 | Blanca Hall | Social Worker | 151 Kalmus Dr Ste K3, Costa Mesa, CA 92626-5975 | 2014-06-24 |
| 1134560014 | Michelle Son | Registered Nurse | 151 Kalmus Dr Ste K3, Costa Mesa, CA 92626-5975 | 2013-07-08 |
| 1265778575 | Erick Catuira | Licensed Vocational Nurse | 151 Kalmus Dr Ste K3, Costa Mesa, CA 92626-5975 | 2012-12-14 |
| 1376888131 | Maria Ornelas Madrigal | Social Worker | 151 Kalmus Dr Ste K3, Costa Mesa, CA 92626-5975 | 2012-12-05 |
| 1275878407 | Alice Ina Brinkmann | Case Manager/Care Coordinator | 151 Kalmus Dr Ste K3, Costa Mesa, CA 92626-5975 | 2012-11-28 |
| 1467797712 | Lorraine Grace Bolido | Case Manager/Care Coordinator | 151 Kalmus Dr Ste K3, Costa Mesa, CA 92626-5975 | 2012-11-27 |
| 1346503729 | Chris Cosand | Licensed Vocational Nurse | 151 Kalmus Dr Ste K3, Costa Mesa, CA 92626-5975 | 2012-06-20 |
| 1518223759 | Lisa Renee Casey | Registered Nurse | 151 Kalmus Dr Ste K3, Costa Mesa, CA 92626-5975 | 2012-04-02 |
| 1720344963 | Misty Cain Welsh | Case Manager/Care Coordinator | 151 Kalmus Dr Ste K3, Costa Mesa, CA 92626-5975 | 2012-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536982 | Sergio Gutierrez | Behavior Technician | 3303 Harbor Blvd., Suite B8, Costa Mesa, CA 92626 | 2020-10-22 |
| 1780201848 | Kelly Chauvet | Behavior Technician | 1503 Nutmeg Place Suite 110, Costa Mesa, CA 92626 | 2020-07-06 |
| 1316564610 | Timo Rosa | Behavior Technician | 1503 Nutmeg Place, Suite 110, Costa Mesa, CA 92626 | 2020-07-02 |
| 1255966115 | Dalia A Sehweil | Behavior Technician | 1111 Baker, Costa Mesa, CA 92626 | 2020-03-11 |
| 1265071096 | Austin Stotelmyre | Behavior Technician | 1111 Baker St Costa Mesa 92626, Costa Mesa, CA 92626 | 2019-12-26 |
| 1396383022 | The Open Table | Community/Behavioral Health | 151 Kalmus Dr. Bldg C, Suite 100, Costa Mesa, CA 92626 | 2019-12-12 |
| 1851933550 | Jennifer Rivera | Behavior Technician | 1111 Baker St. Unit #a, Costa Mesa, CA 92626 | 2019-10-14 |
| 1962053595 | Peter Na | Behavior Technician | Behavior Functions 3303 Harbor Blvd, Ste B8, Costa Mesa, CA 92626 | 2019-09-25 |
| 1346897147 | Jennifer Lopez | Behavior Technician | 555 Alton Blvd Suite 150, Costa Mesa, CA 92626 | 2019-08-26 |
| 1679134084 | Danny Garcia Chiropractic, PC | Chiropractor | 1503 South Coast Drive, Suite 319, Costa Mesa, CA 92626 | 2019-06-26 |
| Find all providers in zip 92626 | ||||
| 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 |
|---|---|---|---|---|
| 1043843022 | Kimberly Ochoa Arzate | Licensed Psychiatric Technician | 275 Baker St Ste A, Costa Mesa, CA 92626-4566 | 2020-02-18 |
| 1710400098 | Michael Paul Romero | Licensed Psychiatric Technician | 275 Baker St Ste A, Costa Mesa, CA 92626-4566 | 2017-07-19 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | COSTA MESA |
| Zip Code | 92626 |
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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.