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RAYMOND LOPEZ
NPI 1104590470
Licensed Psychiatric Technician in Fontana, CA

Active since August 02, 2021
14677 MERRILL AVE, FONTANA, CA 92335(951) 643-2340 Get Directions Write a Review

NPPES record last updated: August 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Raymond Lopez NPPES

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

RAYMOND LOPEZ (NPI 1104590470) is an individual licensed psychiatric technician in Fontana, California, licensed in California (42062) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1104590470
Entity TypeIndividualMale
Primary Taxonomy167G00000X
Provider Legal NameRAYMOND LOPEZ
Location Address14677 MERRILL AVEFontana, CA 92335-4219
Mailing Address8950 Magnolia Ave Unit 213Montclair, CA 91763-1461 · (909) 605-3303
Phone(951) 643-2340
Sole ProprietorNo
Enumeration DateAugust 2, 2021
NPPES CertifiedAugust 2, 2021
✔ NPI 1104590470 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 · 42062
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.
14677 MERRILL AVE, Fontana, CA 92335
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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.

CELINA CONCEPCION BENAVIDES LPT
Licensed Psychiatric Technician
14677 MERRILL AVE
FONTANA, CA 92335
San Bernardino County (951) 643-2340
KELLY ANN JIMENEZ
Social Worker (Clinical)
14677 MERRILL AVE
FONTANA, CA 92335
San Bernardino County (951) 643-2340
ZULEMA ZELENE VELAZQUEZ MA
Marriage & Family Therapist
14677 MERRILL AVE
FONTANA, CA 92335
San Bernardino County (951) 643-2340
SARA MAUL
Licensed Vocational Nurse
14677 MERRILL AVE
FONTANA, CA 92335
San Bernardino County (951) 643-2340
GRACE AVILA
Counselor
14677 MERRILL AVE
FONTANA, CA 92335
San Bernardino County (951) 643-2340
MATTHEW ALLAN BERRY
Licensed Psychiatric Technician
14677 MERRILL AVE
FONTANA, CA 92335
San Bernardino County (951) 643-2335
ALEXIS URIEL TOVAR
Social Worker
14677 MERRILL AVE
FONTANA, CA 92335
San Bernardino County (909) 643-2340
JACQUELINE NANCY CUEVAS
Licensed Vocational Nurse
14677 MERRILL AVE
FONTANA, CA 92335
San Bernardino County (951) 643-2143

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 Raymond Lopez's NPI number?

The NPI number for Raymond Lopez is 1104590470. It was assigned to this individual provider in the NPPES registry on August 2, 2021.

Where is Raymond Lopez located?

Raymond Lopez practices at 14677 Merrill Ave, Fontana, CA 92335. The listed phone number is (951) 643-2340.

What is Raymond Lopez'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 Raymond Lopez was last updated on August 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.