CALEB PICO (NPI# 1497176267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497176267 |
| Entity Type | Individual |
| Full Name | CALEB PICO |
| Practice Address |
12235 Beach Blvd Suite 107 Stanton CA 90680-3939 |
| Practice Telephone | 7148912601 |
| Practice Fax Number | 7147982266 |
| Mailing Telephone | 7148912601 |
| Mailing Fax Number | 7147982266 |
| Enumeration Date | 2013-12-22 |
| Last Update Date | 2013-12-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146N00000X | Emergency Medical Technician, Basic | 2069 | CA | Emergency Medical Service Providers |
| Street Address |
12235 BEACH BLVD SUITE 107 |
| City | STANTON |
| State | CA |
| Zip Code | 90680-3939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336152008 | Howard R Knohl | Radiology | 12235 Beach Blvd, Ste 110, Stanton, CA 90680-3939 | 2006-08-14 |
| 1942800701 | Ami Tapan Parikh | Assistant Behavior Analyst | 12235 Beach Blvd, Ste 110, Stanton, CA 90680 | 2020-10-29 |
| 1588263297 | Nancy Rubi Araujo | Behavior Technician | 12235 Beach Blvd, Stanton, CA 90680-3939 | 2020-10-22 |
| 1952900060 | Mikael Joseph Auro Godisan | Behavior Technician | 12235 Beach Blvd, Stanton, CA 90680-3939 | 2020-10-20 |
| 1437756194 | Sean Marcus A Zafra | Behavior Technician | 12235 Beach Blvd, Stanton, CA 90680-3939 | 2020-10-06 |
| 1992318737 | Ryan Douglas Tokeshi | Behavior Technician | 12235 Beach Blvd, Stanton, CA 90680-3939 | 2020-08-30 |
| 1194338525 | Rosalinda M Orozco | Behavior Technician | 12235 Beach Blvd, Stanton, CA 90680-3939 | 2020-08-25 |
| 1639795354 | Malia Gear | Behavior Technician | 12235 Beach Blvd, Stanton, CA 90680-3939 | 2020-06-18 |
| 1700409398 | Emma Lervold | Behavior Technician | 12235 Beach Blvd, Stanton, CA 90680-3939 | 2020-05-18 |
| 1578185906 | Albert Sosa Orozco | Behavior Technician | 12235 Beach Blvd, Stanton, CA 90680-3939 | 2020-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962978429 | Mountain View Hospice | Hospice Care, Community Based | 12235 Beach Blvd., Suite 205c, Stanton, CA 90680 | 2018-10-22 |
| 1073983250 | Jennifer Van | Dental Hygienist | 10882 Cedar Street, Stanton, CA 90680 | 2015-10-01 |
| 1780097915 | Chris G Kim | Acupuncturist | 7731 Katella Ave #b, Stanton, CA 90680 | 2014-06-05 |
| 1982035069 | San Blas Medical Clinic | General Practice | 7777 Katella Avenue, Stanton, CA 90680 | 2013-11-27 |
| 1487969861 | Dean Tran, D.o., Inc | Clinic/Center | 11418 1/2 Renaissance Way, Stanton, CA 90680 | 2010-08-10 |
| 1255562229 | Ability Center | Durable Medical Equipment & Medical Supplies | 11600 Western Ave, Stanton, CA 90680 | 2009-08-07 |
| 1235369786 | Diem-trinh Maria Nguyen | Dentist | 532 E Chapman, Orange, CA 90680 | 2009-07-17 |
| 1932315959 | Esther L Sy | Dentist | 10468 Beach Boulevard, Stanton, CA 90680 | 2007-05-15 |
| 1255409694 | Minh Duc Nguyen | Dentist | 12880 Beach Blvd, Stuite Aa, Stanton, CA 90680 | 2006-12-02 |
| 1780750612 | Go Diagnostics Inc | Specialist/Technologist, Other | 7159 Katella Ave, Stanton, CA 90680 | 2006-11-24 |
| Find all providers in zip 90680 | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144829821 | Mark Anthony Bagasol | Emergency Medical Technician, Basic | 770 N Plano St, Porterville, CA 93257-6329 | 2020-10-22 |
| 1376142240 | Cory Conte | Emergency Medical Technician, Basic | 2960 S Cherry Ave, Fresno, CA 93706-5445 | 2020-10-21 |
| 1285240556 | Ian Spencer Elario | Emergency Medical Technician, Basic | 31752 Via Belardes, San Juan Capistrano, CA 92675-3031 | 2020-09-21 |
| 1093320376 | Renee Harter | Emergency Medical Technician, Basic | 10901 Gold Center Dr Ste 400, Rancho Cordova, CA 95670-6073 | 2020-09-13 |
| 1871110601 | Richard Fox Emmons Jr. | Emergency Medical Technician, Basic | 4470 W Sunset Blvd Ste 700, Los Angeles, CA 90027-6068 | 2020-06-27 |
| 1104447432 | Nathan Dinitz | Emergency Medical Technician, Basic | 4178 Wallis Ct, Palo Alto, CA 94306-3821 | 2020-04-28 |
| 1952920316 | Jadie Chi | Emergency Medical Technician, Basic | 3145 Geary Blvd # 55, San Francisco, CA 94118-3316 | 2020-04-15 |
| 1821624206 | Blanca Belen Jimenez | Emergency Medical Technician, Basic | 843 Davis St, Livingston, CA 95334-1525 | 2020-03-18 |
| 1265065031 | Eddie Delgado | Emergency Medical Technician, Basic | 526 E Windsor Rd Apt 4, Glendale, CA 91205-2349 | 2020-02-19 |
| 1528608882 | Lidia Rocha | Emergency Medical Technician, Basic | 500 F St, Turlock, CA 95380 | 2020-01-14 |
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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.