Active NPI
Marvin Joseph Aultman, LPT
- Licensed Psychiatric Technician
- Santa Barbara, CA
National Provider Identifier
1275805681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- PT28820
- Practice address
- 315 Camino del Remedio
Santa Barbara, CA 93110-1332 - Phone
- (805) 681-5244
- Fax
- (805) 681-4382
- NPI assigned
- Jan 31, 2012
- Last updated
- Jan 31, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Psychiatric Technician | 167G00000X | PT28820 | CA | Primary |
Addresses
Primary practice location
315 Camino del Remedio
Santa Barbara, CA 93110-1332
Mailing address
315 Camino del Remedio
Santa Barbara, CA 93110-1332
Phone (805) 681-5244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT28820 | Other | CA | BOARD OF VOCATIONAL NURSES AND PSYCHIATRIC TECHNICIANS |
Other names 1
- Joe Aultman
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT28820 | CA | MD | Licensed Psychiatric Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327968000000",
"number": "1275805681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 CAMINO DEL REMEDIO",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931101332",
"telephone_number": "805-681-5244",
"fax_number": "805-681-4382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 CAMINO DEL REMEDIO",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931101332",
"telephone_number": "805-681-5244",
"fax_number": "805-681-4382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AULTMAN",
"first_name": "MARVIN",
"middle_name": "JOSEPH",
"credential": "LPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-31",
"last_updated": "2012-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "PT28820",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF VOCATIONAL NURSES AND PSYCHIATRIC TECHNICIANS",
"identifier": "PT28820",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOE",
"last_name": "AULTMAN",
"credential": "LPT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Santa Barbara, CA
- Emily Auciello, RN
- Audiologic Associates of Santa Barbara (Valley Hearing Center)
- Audrey Sarto-Mayes, Licensed Clinical Social Worker, Bloom Therapy & Wellness (Bloom Therapy & Wellness)
- Benjamin Augustine, RN
- Kirsi Aulin, LMFT
- Aum Physical Therapy Inc
- Austin Radiological Association
- Aaron Miles Austin, D.C.
- Emily Austin, DC
- Hibet Avalos
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.