Michael Espino Corpuz

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

PT33803 Issued in CA

Practice address

12602 Volkwood St
Garden Grove, CA 92840-5932

Phone

(714) 733-8021

NPI assigned

Oct 30, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1225433402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12602 VOLKWOOD ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928405932",
            "telephone_number": "714-733-8021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12602 VOLKWOOD ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928405932",
            "telephone_number": "714-733-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORPUZ",
        "first_name": "MICHAEL",
        "middle_name": "ESPINO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-30",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": "CA",
            "license": "PT33803",
            "primary": false
        },
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "PT33803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikayla Aileen Cornejo
• Corner Resolve
• Dayanna Corona Luque
• Evelyn Cristina Corona
• Ariannah Coronado
• Kassandra Pamela Corral
• Heidy Consepcion Correa, ASW, MSW
• Alexandra Cortes-Avila
• Veronica Cortes-Castro
• Aleshka Cortes-Ruvalcaba

• Licensed Psychiatric Technician in Garden Grove, CA
• Providers in Garden Grove, 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 Oct 19, 2023; 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.