GISELA BANDERA
NPI 1588313951
Licensed Psychiatric Technician in San Diego, CA

Q: What is Gisela Bandera's NPI number?

The NPI number for Gisela Bandera is 1588313951. It was assigned to this individual provider in the NPPES registry on March 22, 2022.

Q: What is Gisela Bandera'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 Gisela Bandera was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 22, 2022

10717 CAMINO RUIZ STE 207, SAN DIEGO, CA 92126(858) 695-2211 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 28, 2023, Feb 13, 2023 (2 updates tracked since 2023).

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About Gisela Bandera NPPES

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

GISELA BANDERA (NPI 1588313951) is an individual licensed psychiatric technician in San Diego, California, licensed in California (PT41609) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1588313951

Entity TypeIndividualFemale

Primary Taxonomy167G00000X

Provider Legal NameGISELA BANDERA

Location Address10717 CAMINO RUIZ STE 207San Diego, CA 92126-2364

Mailing Address10717 Camino Ruiz Ste 207San Diego, CA 92126-2364 · (858) 695-2211

Phone(858) 695-2211

Sole ProprietorYes

Enumeration DateMarch 22, 2022

Last NPPES UpdateSeptember 12, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 12, 2023

✔ NPI 1588313951 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 · PT41609

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.

10717 CAMINO RUIZ STE 207, San Diego, CA 92126

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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.

EMMA MIKAYLA PENEV

Case Manager/Care Coordinator