JESUS RODRIGUES NPI 1942688080
Licensed Psychiatric Technician in La Verne, CA
About JESUS RODRIGUES
Jesus Rodrigues is a provider established in La Verne, California and his medical specialization is licensed psychiatric technician. The NPI number of Jesus Rodrigues is 1942688080 and was assigned on May 2015. The practitioner's primary taxonomy code is 167G00000X with license number 33786 (CA). The provider is registered as an individual and his NPI record was last updated 7 years ago.
Jesus Rodrigues is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.
| NPI | 1942688080 |
| Provider Name | JESUS RODRIGUES |
| Provider Location Address | 233 BASELINE RD LA VERNE, CA 91750 |
| Provider Mailing Address | 233 BASELINE RD LA VERNE, CA 91750 |
| Gender | Male |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | No |
| Is Organization Subpart? | N/A |
| Enumeration Date | 05-08-2015 |
| Last Update Date | 05-08-2015 |
Primary Taxonomy
| Taxonomy Code | 167G00000X |
| Classification | Licensed Psychiatric Technician |
| Type | Nursing Service Providers |
| License No. | 33786 |
| 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. |
Business Address
JESUS RODRIGUES
233 BASELINE RD
LA VERNE, CA
ZIP 91750
Phone: (909) 593-2581
Mailing Address
JESUS RODRIGUES
233 BASELINE RD
LA VERNE, CA
ZIP 91750
Phone: (909) 593-2581
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 7565A | OTHER (01) | CA |
Other Providers at the same location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1962648592 | CRISTINA WUCETICH MFTI Individual | Marriage & Family Therapist | 233 BASELINE RD LA VERNE, CA 91750 (909) 593-2581 |
| 1669756722 | DAWN M. HERNANDEZ Individual | Case Manager/Care Coordinator | 233 BASELINE RD LA VERNE, CA 91750 (909) 833-2986 |
| 1689950784 | GABRIELA D ANZO Individual | Licensed Psychiatric Technician | 233 BASELINE RD LA VERNE, CA 91750 (909) 593-2581 |
| 1467713743 | LEROY HAYNES CENTER Organization | Residential Treatment Facility, Emotionally Disturbed Children | 233 BASELINE RD LA VERNE, CA 91750 (909) 593-2581 |
| 1235492612 | JENNIFER FAY MOSSON Individual | Licensed Psychiatric Technician | 233 BASELINE RD LA VERNE, CA 91750 (909) 593-2581 |
| 1285761346 | MS. SHARI LYNNETTE SCHAFFER MFT Individual | Marriage & Family Therapist | 233 BASELINE RD BOX 400 LA VERNE, CA 91750 (909) 593-2581 |
| 1346662509 | LARRY GLEASON MFT, BCBA Individual | Behavior Analyst | 233 BASELINE RD LA VERNE, CA 91750 (909) 593-2581 |
| 1013280932 | MARIO BRIAN FLORES BA Individual | Student in an Organized Health Care Education/Training Program | 233 BASELINE RD LA VERNE, CA 91750 (909) 833-2986 |
| 1518253715 | JENNIFER HAMPTON MSW Individual | Counselor (Mental Health) | 233 BASELINE RD LA VERNE, CA 91750 (909) 593-2581 |
| 1770970444 | MICHELLE SUYAT Individual | Social Worker | 233 BASELINE RD BOX 400 LA VERNE, CA 91750 (909) 883-2986 |
| 1093189045 | JAVON ALLEN MOORE Individual | Rehabilitation Practitioner | 233 BASELINE RD LA VERNE, CA 91750 (909) 833-2986 |
| 1285099895 | PAUL WATTS Individual | Rehabilitation Practitioner | 233 BASELINE RD LA VERNE, CA 91750 (909) 833-2986 |
| 1457717886 | STEVEN MORSE Individual | Licensed Psychiatric Technician | 233 BASELINE RD LA VERNE, CA 91750 (909) 593-2581 |
| 1316252562 | MS. KIMBERLY LEIGH RADFORD MFTI Individual | Counselor (Mental Health) | 233 BASELINE RD LA VERNE, CA 91750 (909) 833-2986 |
| 1407151723 | MS. NATALIE ROSE VALENCIA LPT Individual | Licensed Psychiatric Technician | 233 BASELINE RD LA VERNE, CA 91750 (909) 593-2581 |
| 1639539745 | JOANNA DELAROSA Individual | Licensed Vocational Nurse | 233 BASELINE RD LA VERNE, CA 91750 (909) 593-2581 |
| 1609206226 | MR. LEROY CURTIS JOHNSON MSW,ASW Individual | Social Worker | 233 BASELINE RD LA VERNE, CA 91750 (909) 833-2986 |
| 1699176305 | MIRNA JOHNSON B.S. Individual | Counselor (Mental Health) | 233 BASELINE RD LA VERNE, CA 91750 (909) 833-2986 |
| 1720439722 | MS. NATALIE SALDANA MS, BCBA Individual | Behavior Analyst | 233 BASELINE RD LA VERNE, CA 91750 (909) 593-2581 |
| 1477749570 | MUNA M HATTAR-MENDOZA Individual | Social Worker (Clinical) | 233 BASELINE RD LA VERNE, CA 91750 (909) 833-2986 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.