Individual provider Active NPI

Oumaima Shilleh

  • Licensed Psychiatric Technician
  • West Covina, CA
National Provider Identifier
1205445665
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Psychiatric TechnicianTaxonomy code 167G00000X
License
40273 Issued in CA
Practice address
1825 E Thelborn St
West Covina, CA 91791-1442
Phone
(626) 915-3844
NPI assigned
Jul 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Psychiatric Technician 167G00000X 40273 CA Primary

Addresses

Primary practice location

1825 E Thelborn St
West Covina, CA 91791-1442

Mailing address

2377 Turquoise Cir
Chino Hills, CA 91709-2127

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address oumaima.shilleh@pinnacletreatment.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
40273CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1205445665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2377 TURQUOISE CIR",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917092127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 E THELBORN ST",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911442",
            "telephone_number": "626-915-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHILLEH",
        "first_name": "OUMAIMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-30",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "40273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "oumaima.shilleh@pinnacletreatment.com",
            "affiliation": "N",
            "endpointDescription": "direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1825 E Thelborn St",
            "city": "West Covina",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917911442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.