Jared Antolin

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

40414 Issued in CA

Practice address

4025 W 226TH St
Torrance, CA 90505-2340

Phone

(310) 373-4556

NPI assigned

Nov 23, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1114684263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 W 226TH ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052340",
            "telephone_number": "310-373-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 W 226TH ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052340",
            "telephone_number": "310-373-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTOLIN",
        "first_name": "JARED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-23",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "40414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fernando Antelo, M.D.
• Anthony J Chen MD Inc
• Anthony Y Jong Professional
• Kariann Christine Anthony, MA, OTR/L
• Sabina Anthony, SLP-CCC
• Dante Anton
• Roderick Antone, RN
• Narin Antoniades
• Catherine Danielle Antonuk, MD
• Albert Antonyan, MD

• Licensed Psychiatric Technician in Torrance, CA
• Providers in Torrance, CA by specialty
• Licensed Psychiatric Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.