CHARITO AGUILAR RODRIGUEZ (NPI# 1518573153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518573153 |
| Entity Type | Individual |
| Full Name | CHARITO AGUILAR RODRIGUEZ |
| Credential | LPT |
| Practice Address |
300 Ilene St Martinez CA 94553-2631 |
| Mailing Address |
1230 Locust Dr Vallejo CA 94591-4309 |
| Practice Telephone | 9253137980 |
| Practice Fax Number | 9256462060 |
| Mailing Telephone | 7073196045 |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | 33141 | CA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HEALTH CARD | 9222028 | 01 | |
| HEALTH INSURANCE | 9222028 | 01 |
| Street Address |
300 ILENE ST |
| City | MARTINEZ |
| State | CA |
| Zip Code | 94553-2631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235276486 | James Christopher | Marriage & Family Therapist | 300 Ilene St, Martinez, CA 94553-2631 | 2007-01-30 |
| 1043857964 | Caitlin Young | Marriage & Family Therapist | 300 Ilene St, Martinez, CA 94553-2631 | 2019-12-10 |
| 1366948200 | Lilian F Ademola | Licensed Vocational Nurse | 300 Ilene St, Martinez, CA 94553-2631 | 2018-03-31 |
| 1043711286 | Sonia Huezo | Licensed Psychiatric Technician | 300 Ilene St, Martinez, CA 94553-2631 | 2018-02-22 |
| 1740707009 | Kiki Taliaferro | Marriage & Family Therapist | 300 Ilene St, Martinez, CA 94553-2631 | 2017-08-28 |
| 1467987958 | Stephen Shalev | Counselor | 300 Ilene St, Martinez, CA 94553-2631 | 2017-04-22 |
| 1689093114 | Amberr L Young | Counselor | 300 Ilene St, Hope House, Martinez, CA 94553 | 2014-04-13 |
| 1013335207 | Ronitte Politi | Counselor | 300 Ilene St, Martinez, CA 94553 | 2014-04-03 |
| 1841623535 | Mark Anthony Tiano | Social Worker | 300 Ilene St, Martinez, CA 94553-2631 | 2013-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043838709 | Melissa A Eaton | Health Educator | 200 Muir Rd., Attn Health Education Department, 3rd Floor, Ensenada Building, Martinez, CA 94553 | 2020-07-09 |
| 1427671965 | Kamri Elizabeth Hunt | Behavior Technician | 1220 Arnold Dr, Martinez, CA 94553 | 2020-05-19 |
| 1134741671 | Alex Rodriguez | Social Worker | 150 Nuir Road, Martinez, CA 94553 | 2020-05-07 |
| 1316405632 | Melissa Janine London | Psychologist | 150 Muir Road (116b), Martinez, CA 94553 | 2019-03-05 |
| 1942791025 | Morganne Elizabeth Lasley Juelich | Behavioral Analyst | 940 Lemon St, Martinez, CA 94553 | 2018-05-23 |
| 1457882243 | Ut Nguyen | Pharmacist | 400 Muir Rd, Martinez, CA 94553 | 2017-03-23 |
| 1346771144 | Irene Kuo | Pharmacist | 400 Muir Road, Martinez, CA 94553 | 2017-03-23 |
| 1407209802 | Gabrielle B De Los Reyes | Dentist | 1124 Arnold Drive #100, Martinez, CA 94553 | 2016-07-20 |
| 1619334745 | Randal Du | Pharmacist | 200 Muir Rd, Hacienda Bldg, Rm H1b18, Martinez, CA 94553 | 2016-01-20 |
| 1417329947 | Suja Samuel | Registered Nurse | 597 Center Avenue, Suite 200-a, Martinez, CA 94553 | 2015-10-23 |
| Find all providers in zip 94553 | ||||
| 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 |
|---|---|---|---|---|
| 1043711286 | Sonia Huezo | Licensed Psychiatric Technician | 300 Ilene St, Martinez, CA 94553-2631 | 2018-02-22 |
| 1972921120 | Kelsey Rogers | Licensed Psychiatric Technician | 300 Ilene Street, Martinez, CA 94553 | 2014-04-04 |
| 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 | ||||
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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.