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VIDIAN ANASTASYA PANGALILA
NPI 1033092564
Licensed Psychiatric Technician in Colton, CA

Active since July 30, 2025
400 N PEPPER AVE, COLTON, CA 92324(909) 580-1800 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vidian Anastasya Pangalila NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIDIAN ANASTASYA PANGALILA (NPI 1033092564) is an individual licensed psychiatric technician in Colton, California, licensed in California (42954) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1033092564
Entity TypeIndividual
Primary Taxonomy167G00000X
Provider Legal NameVIDIAN ANASTASYA PANGALILA
Location Address400 N PEPPER AVEColton, CA 92324-1819
Mailing Address400 N Pepper AveColton, CA 92324-1819
Phone(909) 580-1800
Sole ProprietorNo
Enumeration DateJuly 30, 2025
NPPES CertifiedJuly 30, 2025
✔ NPI 1033092564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers
Taxonomy Code167G00000X
License✔ Licensed in CA · 42954
Definition
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.
400 N PEPPER AVE, Colton, CA 92324
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATHERINE J CALHOUN
Licensed Psychiatric Technician
400 N PEPPER AVE
COLTON, CA 92324
San Bernardino County (909) 580-1800
CINDY COZART
Registered Nurse (Psychiatric/Mental Health)
400 N PEPPER AVE
COLTON, CA 92324
San Bernardino County (909) 580-1800
ARROWHEAD REGIONAL MEDICAL CENTER
General Acute Care Hospital
400 N PEPPER AVE
COLTON, CA 92324
San Bernardino County (909) 580-1000
LINDA MATTHEWS
Registered Nurse
400 N PEPPER AVE
COLTON, CA 92324
San Bernardino County (909) 580-3144
BRANDI DEUEL
Registered Nurse
400 N PEPPER AVE
COLTON, CA 92324
San Bernardino County (909) 580-3144
CHIQUE LOU FLORES RN
Registered Nurse
400 N PEPPER AVE
COLTON, CA 92324
San Bernardino County (909) 580-1800
KEVIN THIEN ONG
Student in an Organized Health Care Education/Training Program
400 N PEPPER AVE
COLTON, CA 92324
San Bernardino County (510) 525-6927
CAROLYN M DOHERTY MD
Otolaryngology
400 N PEPPER AVE, MOB SUITE 308
COLTON, CA 92324
San Bernardino County (909) 580-3353

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vidian Pangalila's NPI number?

The NPI number for Vidian Pangalila is 1033092564. It was assigned to this individual provider in the NPPES registry on July 30, 2025.

Where is Vidian Pangalila located?

Vidian Pangalila practices at 400 N Pepper Ave, Colton, CA 92324. The listed phone number is (909) 580-1800.

What is Vidian Pangalila's specialty?

The primary specialty registered for this NPI is Licensed Psychiatric Technician with taxonomy code 167G00000X.

When was this NPI record last updated?

The NPPES record for Vidian Pangalila was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.