MR. RUSSELL FRANCIS IIAMS JR. (NPI# 1952556292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952556292 |
Entity Type | Individual |
Full Name | MR. RUSSELL FRANCIS IIAMS JR. |
Credential | P.T. |
Practice Address |
14411 Vanowen St Van Nuys CA 91405-4038 |
Mailing Address |
4367 Via Largo Cypress CA 90630-3451 |
Practice Telephone | 8189897475 |
Mailing Telephone | 7144716720 |
Enumeration Date | 2008-12-01 |
Last Update Date | 2008-12-01 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 167G00000X | Licensed Psychiatric Technician | 29029 | CA | Nursing Service Providers |
Street Address |
14411 VANOWEN ST |
City | VAN NUYS |
State | CA |
Zip Code | 91405-4038 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720132509 | Kevin Robert Foss | Counselor | 14411 Vanowen St, Van Nuys, CA 91405-4038 | 2007-01-22 |
1720322217 | Jae Levine Farkas | Rehabilitation Practitioner | 14411 Vanowen St, Van Nuys, CA 91405-4038 | 2012-11-21 |
1538411483 | Kyleigh L Sanchez | Licensed Vocational Nurse | 14411 Vanowen St, Van Nuys, CA 91405-4038 | 2012-10-02 |
1871861013 | Hillary J Brown | Rehabilitation Practitioner | 14411 Vanowen St, Van Nuys, CA 91405-4038 | 2011-12-02 |
1366722662 | Claire L Merrill | Rehabilitation Practitioner | 14411 Vanowen St, Van Nuys, CA 91405-4038 | 2011-08-18 |
1508158452 | William D. White | Rehabilitation Practitioner | 14411 Vanowen St, Van Nuys, CA 91405-4038 | 2011-05-11 |
1487945184 | Shallimara Perry | Rehabilitation Practitioner | 14411 Vanowen St, Van Nuys, CA 91405-4038 | 2011-04-28 |
1952600264 | Francisco Javier Perez | Rehabilitation Practitioner | 14411 Vanowen St, Van Nuys, CA 91405-4038 | 2011-03-25 |
1871808865 | Aurora Filipescu | Rehabilitation Practitioner | 14411 Vanowen St, Van Nuys, CA 91405-4038 | 2010-08-13 |
1942515945 | Curtis Wade | Rehabilitation Practitioner | 14411 Vanowen St, Van Nuys, CA 91405-4038 | 2010-08-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
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1265033955 | Pro-med Hospice Inc | Hospice Care, Community Based | 6621 Van Nuys Blvd, Unit 108, Van Nuys, CA 91405 | 2020-11-08 |
1205452174 | Graeme Matthewson | Student in an Organized Health Care Education/Training Program | 6815 Noble Avenue, Van Nuys, CA 91405 | 2020-06-17 |
1023671179 | Cory Andrew Kwong | Student in an Organized Health Care Education/Training Program | C/o Lauren Daoust - Southern California Orthopedic Inst, 6815 Noble Avenue, Van Nuys, CA 91405 | 2019-04-15 |
1871052878 | Eric Nunez | Behavior Technician | 7226 Sepulveda Boulevard, Van Nuys, CA 91405 | 2019-03-19 |
1487113437 | Cindy Antillon | Behavior Technician | 7226 Sepulveda Blvd. Van Nuys, Ca 91405, Van Nuys, CA 91405 | 2019-03-19 |
1326507690 | Jordan Elliot Brooks | Behavior Technician | 7226 Sepulveda Blvd., Van Nuys, CA 91405 | 2019-03-17 |
1689132110 | Bright Star Home Health Care, Inc. | Home Health | 7141 Wooley Ave, Van Nuys, CA 91405 | 2019-03-04 |
1336650498 | Avanti Transportation Services, LLC | Private Vehicle | 7020 Lennox Ave #7, Van Nuys, CA 91405 | 2017-10-17 |
1801312434 | Marissa Topete | Rehabilitation Counselor | 14624 Sherman Way, Suite 404, Van Nuys, CA 91405 | 2017-08-15 |
1750802468 | Selin Ani Zarmanoglu | Marriage & Family Therapist | 14600 Sherman Way #100d, Van Nuys, CA 91405 | 2017-07-03 |
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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 |
---|---|---|---|---|
1376087312 | Jovito Galaura | Licensed Psychiatric Technician | 14660 Oxnard Street, 250, Van Nuys, CA 91411 | 2016-12-09 |
NPI | Name | Taxonomy | Address | Enumeration |
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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 |
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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.