STEVEN GASTELUM
NPI 1487004149
Licensed Psychiatric Technician in San Luis Obispo, CA
- Individual
- Male
- Licensed Psychiatric Technician
About STEVEN GASTELUM
This page provides the complete NPI Profile along with additional information for Steven Gastelum, a provider established in San Luis Obispo, California with a medical specialization in Licensed Psychiatric Technician. The healthcare provider is registered in the NPI registry with number 1487004149 assigned on June 2016. The practitioner's primary taxonomy code is 167G00000X with license number PT 30628 (CA). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1487004149 Verify this NPI
- Provider Name
- STEVEN GASTELUM
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2178 JOHNSON AVE SAN LUIS OBISPO, CA 93401
- Location Phone
- (805) 781-4712
- Location Fax
- (805) 781-4145
- Mailing Address
- 8595 SAN ANDRES AVE. ATASCADERO, CA 93422
- Mailing Phone
- (805) 462-2809
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-14-2016
- Last Update Date
- 06-15-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Psychiatric Technician
- Taxonomy Code
- 167G00000X
- Type
- Nursing Service Providers
- License No.
- PT 30628
- License State
- CA
- Taxonomy Description
- 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.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SAN LUIS OBISPO, CA 93401
SAN LUIS OBISPO, CA 93401
SAN LUIS OBISPO, CA 93401
SAN LUIS OBISPO, CA 93401
SAN LUIS OBISPO, CA 93401
SAN LUIS OBISPO, CA 93401
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487004149, enumerated as an "individual" on June 14, 2016.
The provider is located at 2178 JOHNSON AVE SAN LUIS OBISPO, CA 93401 and the phone number is (805) 781-4712.
Licensed Psychiatric Technician with taxonomy code 167G00000X.
