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SHO KITADA
NPI 1871145797
Licensed Psychiatric Technician in Fontana, CA

Active since July 11, 2019
14677 MERRILL AVE., FONTANA, CA 92335(951) 643-2340 Get Directions Write a Review

NPPES record last updated: July 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sho Kitada NPPES

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

SHO KITADA (NPI 1871145797) is an individual licensed psychiatric technician in Fontana, California, licensed in California (41070) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1871145797
Entity TypeIndividualMale
Primary Taxonomy167G00000X
Provider Legal NameSHO KITADA
Location Address14677 MERRILL AVE.Fontana, CA 92335
Mailing Address2126 Eadbury AveRowland Heights, CA 91748-4030
Phone(951) 643-2340
Sole ProprietorYes
Enumeration DateJuly 11, 2019
✔ NPI 1871145797 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 · 41070
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.
14677 MERRILL AVE., Fontana, CA 92335
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FRANCINE PRIETO-ESTRADA
Peer Specialist
14677 MERRILL AVE.
FONTANA, CA 92335
San Bernardino County (951) 643-2340
TELECARE COPRATION
Clinic/Center (Mental Health (Including Community Mental Health Center))
14677 MERRILL AVE.
FONTANA, CA 92335
San Bernardino County (510) 337-7950
MRS. ANGELA LUCILLE NAVARRO
Licensed Vocational Nurse
14677 MERRILL AVE.
FONTANA, CA 92335
San Bernardino County (951) 643-2340
JAQUELINNE GONZALEZ-RUIZ
Social Worker (Clinical)
14677 MERRILL AVE.
FONTANA, CA 92335
San Bernardino County (951) 643-2335

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 Sho Kitada's NPI number?

The NPI number for Sho Kitada is 1871145797. It was assigned to this individual provider in the NPPES registry on July 11, 2019.

Where is Sho Kitada located?

Sho Kitada practices at 14677 Merrill Ave., Fontana, CA 92335. The listed phone number is (951) 643-2340.

What is Sho Kitada'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 Sho Kitada was last updated on July 11, 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.