Individual provider Active NPI

Sheri Clara Irabor

  • Licensed Psychiatric Technician
  • Rancho Cucamonga, CA
National Provider Identifier
1245894237
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Psychiatric TechnicianTaxonomy code 167G00000X
License
PT31658 Issued in CA
Practice address
8250 Vineyard Ave Apt 24
Rancho Cucamonga, CA 91730-8703
Phone
(909) 560-0017
NPI assigned
Apr 25, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Psychiatric TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 167G00000X PT31658 CA Primary

Addresses

Primary practice location

8250 Vineyard Ave Apt 24
Rancho Cucamonga, CA 91730-8703

Mailing address

8250 Vineyard Ave Apt 24
Rancho Cucamonga, CA 91730-8703
Phone (909) 560-0017

Other identifiers 1

IdentifierTypeStateIssuer
PT31658OtherCANA

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
PT31658CAMDLicensed Psychiatric Technician

NPI Registry JSON

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1245894237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8250 VINEYARD AVE APT 24",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917308703",
            "telephone_number": "909-560-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8250 VINEYARD AVE APT 24",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917308703",
            "telephone_number": "909-560-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRABOR",
        "first_name": "SHERI",
        "middle_name": "CLARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "PT31658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "PT31658",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; 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.