JESUS RODRIGUES NPI 1942688080

Licensed Psychiatric Technician in La Verne, CA

NPI 1942688080 Individual Male Licensed Psychiatric Technician

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 Address233 BASELINE RD LA VERNE, CA 91750
Provider Mailing Address233 BASELINE RD LA VERNE, CA 91750
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-08-2015
Last Update Date05-08-2015


Primary Taxonomy

Taxonomy Code167G00000X
ClassificationLicensed Psychiatric Technician
TypeNursing Service Providers
License No.33786
License StateCA
Taxonomy DescriptionAn 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

Get Directions


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
7565AOTHER (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 Therapist233 BASELINE RD
LA VERNE, CA 91750
(909) 593-2581
1669756722 DAWN M. HERNANDEZ
Individual
Case Manager/Care Coordinator233 BASELINE RD
LA VERNE, CA 91750
(909) 833-2986
1689950784 GABRIELA D ANZO
Individual
Licensed Psychiatric Technician233 BASELINE RD
LA VERNE, CA 91750
(909) 593-2581
1467713743LEROY HAYNES CENTER
Organization
Residential Treatment Facility, Emotionally Disturbed Children233 BASELINE RD
LA VERNE, CA 91750
(909) 593-2581
1235492612 JENNIFER FAY MOSSON
Individual
Licensed Psychiatric Technician233 BASELINE RD
LA VERNE, CA 91750
(909) 593-2581
1285761346MS. SHARI LYNNETTE SCHAFFER MFT
Individual
Marriage & Family Therapist233 BASELINE RD BOX 400
LA VERNE, CA 91750
(909) 593-2581
1346662509 LARRY GLEASON MFT, BCBA
Individual
Behavior Analyst233 BASELINE RD
LA VERNE, CA 91750
(909) 593-2581
1013280932 MARIO BRIAN FLORES BA
Individual
Student in an Organized Health Care Education/Training Program233 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 Worker233 BASELINE RD BOX 400
LA VERNE, CA 91750
(909) 883-2986
1093189045 JAVON ALLEN MOORE
Individual
Rehabilitation Practitioner233 BASELINE RD
LA VERNE, CA 91750
(909) 833-2986
1285099895 PAUL WATTS
Individual
Rehabilitation Practitioner233 BASELINE RD
LA VERNE, CA 91750
(909) 833-2986
1457717886 STEVEN MORSE
Individual
Licensed Psychiatric Technician233 BASELINE RD
LA VERNE, CA 91750
(909) 593-2581
1316252562MS. KIMBERLY LEIGH RADFORD MFTI
Individual
Counselor (Mental Health)233 BASELINE RD
LA VERNE, CA 91750
(909) 833-2986
1407151723MS. NATALIE ROSE VALENCIA LPT
Individual
Licensed Psychiatric Technician233 BASELINE RD
LA VERNE, CA 91750
(909) 593-2581
1639539745 JOANNA DELAROSA
Individual
Licensed Vocational Nurse233 BASELINE RD
LA VERNE, CA 91750
(909) 593-2581
1609206226MR. LEROY CURTIS JOHNSON MSW,ASW
Individual
Social Worker233 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
1720439722MS. NATALIE SALDANA MS, BCBA
Individual
Behavior Analyst233 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.