JOHN LIBAO - NPI 1659740694 - Licensed Psychiatric Technician in San Francisco, CA

Q: What is John Libao's NPI number?

The NPI number for John Libao is 1659740694. It was assigned to this individual provider in the NPPES registry on September 21, 2015.

Q: What is John Libao'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 John Libao was last updated on May 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

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About John Libao NPPES

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

JOHN LIBAO (NPI 1659740694) is an individual licensed psychiatric technician in San Francisco, California, licensed in California (35344) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1659740694

Entity TypeIndividualMale

Primary Taxonomy167G00000X

Provider Legal NameJOHN LIBAO

Location Address52 DORE STSan Francisco, CA 94103-3828

Mailing Address368 Fell StSan Francisco, CA 94102-5144 · (415) 861-0828 · Fax (415) 861-0257

Phone(415) 553-3100

Fax(415) 553-3118

Sole ProprietorNo

Enumeration DateSeptember 21, 2015

Last NPPES UpdateMay 7, 2016

✔ NPI 1659740694 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 · 35344

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.

52 DORE ST, San Francisco, CA 94103

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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.

MS. CECILE A O'CONNOR RN

Registered Nurse