TARA LEIGH JOAQUIN PT
NPI 1376015289
Licensed Psychiatric Technician in Arroyo Grande, CA

Q: What is Tara Joaquin's NPI number?

The NPI number for Tara Joaquin is 1376015289. It was assigned to this individual provider in the NPPES registry on December 18, 2018.

Q: What is Tara Joaquin'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 Tara Joaquin was last updated on May 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since December 18, 2018

1350 E GRAND AVE, ARROYO GRANDE, CA 93420(805) 474-2170 Get Directions Write a Review

NPPES record last updated: May 13, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 13, 2019, Dec 18, 2018 (2 updates tracked since 2018).

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About Tara Leigh Joaquin Pt NPPES

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

TARA LEIGH JOAQUIN PT (NPI 1376015289) is an individual licensed psychiatric technician in Arroyo Grande, California, licensed in California (PT34771) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1376015289

Entity TypeIndividualFemale

Primary Taxonomy167G00000X

Provider Legal NameTARA LEIGH JOAQUINCredential: PT

Location Address1350 E GRAND AVEArroyo Grande, CA 93420-2422

Mailing Address2180 Johnson AveSan Luis Obispo, CA 93401-4558 · (805) 781-4275 · Fax (805) 781-1227

Phone(805) 474-2170

Sole ProprietorNo

Enumeration DateDecember 18, 2018

Last NPPES UpdateMay 13, 20192 updates tracked since enumeration

✔ NPI 1376015289 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 · PT34771

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.

1350 E GRAND AVE, Arroyo Grande, CA 93420

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Other Providers at the Same Location NPPES 10

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

EMILY DAI GRANGER

Student in an Organized Health Care Education/Training Program