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TRACY JO LOPEZ
NPI 1699901751
Licensed Psychiatric Technician in Azusa, CA

Active since June 03, 2009
23701 E EAST FORK RD, AZUSA, CA 91702(626) 910-1202 Get Directions Write a Review

NPPES record last updated: June 3, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Tracy Jo Lopez NPPES

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

TRACY JO LOPEZ (NPI 1699901751) is an individual licensed psychiatric technician in Azusa, California, licensed in California (PT 34770) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1699901751
Entity TypeIndividualFemale
Primary Taxonomy167G00000X
Provider Legal NameTRACY JO LOPEZ
Location Address23701 E EAST FORK RDAzusa, CA 91702-1477
Mailing Address23701 E East Fork RdAzusa, CA 91702-1477 · (626) 910-1202
Phone(626) 910-1202
Sole ProprietorNo
Enumeration DateJune 3, 2009
✔ NPI 1699901751 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 · PT 34770
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.
23701 E EAST FORK RD, Azusa, CA 91702
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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.

KELLY LORENE HEIMDAHL
Case Manager/Care Coordinator
23701 E EAST FORK RD
AZUSA, CA 91702
Los Angeles County (626) 250-3290
JUSTIN M CONTRERAS
Case Manager/Care Coordinator
23701 E EAST FORK RD
AZUSA, CA 91702
Los Angeles County (626) 250-3291
MR. MARSHALL DEAN GODFREY
Counselor (Addiction (Substance Use Disorder))
23701 E EAST FORK RD
AZUSA, CA 91702
Los Angeles County (626) 910-1202
MS. CYNTHIA ORONA
Case Manager/Care Coordinator
23701 E EAST FORK RD
AZUSA, CA 91702
Los Angeles County (626) 250-3291
SCOTT LEE SMITH CADC-I
Case Manager/Care Coordinator
23701 E EAST FORK RD
AZUSA, CA 91702
Los Angeles County (626) 250-3300
BRENDA GISSELLE ALVAREZ
Case Manager/Care Coordinator
23701 E EAST FORK RD
AZUSA, CA 91702
Los Angeles County (626) 250-3300
MS. LYNETTE KATHLEEN SINGLETON CADACII
Case Manager/Care Coordinator
23701 E EAST FORK RD
AZUSA, CA 91702
Los Angeles County (626) 250-3290
BROOKLYNN GARCIA RADT
Counselor (Addiction (Substance Use Disorder))
23701 E EAST FORK RD
AZUSA, CA 91702
Los Angeles County (626) 910-1202

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 Tracy Lopez's NPI number?

The NPI number for Tracy Lopez is 1699901751. It was assigned to this individual provider in the NPPES registry on June 3, 2009.

Where is Tracy Lopez located?

Tracy Lopez practices at 23701 E East Fork Rd, Azusa, CA 91702. The listed phone number is (626) 910-1202.

What is Tracy Lopez'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 Tracy Lopez was last updated on June 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.