ROLEN ORDONEZ PEPITO
NPI 1053193839
Licensed Psychiatric Technician in Fairfield, CA

Q: What is Rolen Pepito's NPI number?

The NPI number for Rolen Pepito is 1053193839. It was assigned to this individual provider in the NPPES registry on October 17, 2023.

Q: What is Rolen Pepito's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Rolen Pepito was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since October 17, 2023

2101 COURAGE DR, FAIRFIELD, CA 94533(707) 428-1131 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 19, 2025, Oct 17, 2023 (2 updates tracked since 2023).

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About Rolen Ordonez Pepito NPPES

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

ROLEN ORDONEZ PEPITO (NPI 1053193839) is an individual licensed psychiatric technician in Fairfield, California, licensed in California (37645) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1053193839

Entity TypeIndividualMale

Primary Taxonomy167G00000X

Provider Legal NameROLEN ORDONEZ PEPITO

Location Address2101 COURAGE DRFairfield, CA 94533-6717

Mailing Address2101 Courage DrFairfield, CA 94533-6717 · (707) 428-1131

Phone(707) 428-1131

Sole ProprietorNo

Enumeration DateOctober 17, 2023

Last NPPES UpdateNovember 19, 20252 updates tracked since enumeration

NPPES CertifiedNovember 19, 2025

✔ NPI 1053193839 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 · 37645

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.

2101 COURAGE DR, Fairfield, CA 94533

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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.

MS. JENNIFER RUTH PETTIBONE RN

Registered Nurse (Psychiatric/Mental Health)

2101 COURAGE DR, MS-10-200
FAIRFIELD, CA 94533

Solano County (707) 784-2154

MALISSA BLAIR RN

Registered Nurse