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MS. ISATA S MBAWA LPT
NPI 1346754025
Licensed Psychiatric Technician in San Jose, CA

Active since November 16, 2017
4987 SPEAK LN, SAN JOSE, CA 95118(408) 417-1164 Get Directions Write a Review

NPPES record last updated: November 16, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Isata S Mbawa Lpt NPPES

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

MS. ISATA S MBAWA LPT (NPI 1346754025) is an individual licensed psychiatric technician in San Jose, California, licensed in California (37848) and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1346754025
Entity TypeIndividualFemale
Primary Taxonomy167G00000X
Provider Legal NameMS. ISATA S MBAWACredential: LPT
Location Address4987 SPEAK LNSan Jose, CA 95118-2767
Mailing Address4987 Speak LnSan Jose, CA 95118-2767 · (408) 417-1164
Phone(408) 417-1164
Sole ProprietorNo
Enumeration DateNovember 16, 2017
✔ NPI 1346754025 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 · 37848
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.
4987 SPEAK LN, San Jose, CA 95118
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Other Identifiers 1

Other16127819CA · Kaiser Permanente

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 Isata Mbawa's NPI number?

The NPI number for Isata Mbawa is 1346754025. It was assigned to this individual provider in the NPPES registry on November 16, 2017.

Where is Isata Mbawa located?

Isata Mbawa practices at 4987 Speak Ln, San Jose, CA 95118. The listed phone number is (408) 417-1164.

What is Isata Mbawa'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 Isata Mbawa was last updated on November 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.