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NELSON JOSE BOLANOS PSYCHIATRIC TECH.
NPI 1376101212
Licensed Psychiatric Technician in Pomona, CA

Active since June 05, 2019
2008 N GAREY AVE, POMONA, CA 91767(909) 623-6131(909) 865-9281 Get Directions Write a Review

NPPES record last updated: June 17, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 17, 2019, Jun 5, 2019 (2 updates tracked since 2019).

About Nelson Jose Bolanos Psychiatric Tech. NPPES

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

NELSON JOSE BOLANOS PSYCHIATRIC TECH. (NPI 1376101212) is an individual licensed psychiatric technician in Pomona, California, licensed in California (PT37969) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1376101212
Entity TypeIndividualMale
Primary Taxonomy167G00000X
Provider Legal NameNELSON JOSE BOLANOSCredential: PSYCHIATRIC TECH.
Location Address2008 N GAREY AVEPomona, CA 91767-2722
Mailing Address2008 N Garey AvePomona, CA 91767-2722 · (909) 623-6131 · Fax (909) 865-9281
Phone(909) 623-6131
Fax(909) 865-9281
Sole ProprietorNo
Enumeration DateJune 5, 2019
Last NPPES UpdateJune 17, 20192 updates tracked since enumeration
✔ NPI 1376101212 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 · PT37969
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.
2008 N GAREY AVE, Pomona, CA 91767
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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.

MARIA CAROLINA OUSTAD
Rehabilitation Practitioner
2008 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 784-3236
KWONTA PHATIPHONG
Marriage & Family Therapist
2008 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 623-6131
ADDISON HAWTHORNE
Social Worker (Clinical)
2008 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 623-6131
DR. CARLOS A MURALLES M.D.
Psychiatry & Neurology (Psychiatry)
2008 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 623-6131
KIRANDEEP SANDHU
Psychiatry & Neurology (Psychiatry)
2008 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 623-6131
KRISTI ROMERO
Peer Specialist
2008 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 623-6131
SAMANTHA RITA KOEMANS
Student in an Organized Health Care Education/Training Program
2008 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 623-6131
ROBERT PAUL HIJAR
Community Health Worker
2008 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 539-7729

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 Nelson Bolanos's NPI number?

The NPI number for Nelson Bolanos is 1376101212. It was assigned to this individual provider in the NPPES registry on June 5, 2019.

Where is Nelson Bolanos located?

Nelson Bolanos practices at 2008 N Garey Ave, Pomona, CA 91767. The listed phone number is (909) 623-6131.

What is Nelson Bolanos'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 Nelson Bolanos was last updated on June 17, 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.