Individual provider Active NPI

Frank Othon

  • Licensed Psychiatric Technician
  • Lompoc, CA
National Provider Identifier
1295559805
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Psychiatric TechnicianTaxonomy code 167G00000X
License
34825 Issued in CA
Practice address
416 E Ocean Ave
Lompoc, CA 93436-6829
Phone
(805) 849-2318
NPI assigned
Nov 11, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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 34825 CA Primary

Addresses

Primary practice location

416 E Ocean Ave
Lompoc, CA 93436-6829

Mailing address

115 E Fesler St
Santa Maria, CA 93454-4404

Other practice location 1

115 E Fesler St
Santa Maria, CA 93454-4404
Phone (805) 922-6597

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
34825CAMDLicensed Psychiatric Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Treatment Centers, LLC CurrentSince Nov 17, 2024 Accepting new patients

Locations

416 E Ocean Ave
Lompoc, CA 93436
Phone (805) 849-2318

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1295559805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E FESLER ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 E OCEAN AVE",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934366829",
            "telephone_number": "805-849-2318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 E Fesler St",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934544404",
            "country_code": "US",
            "telephone_number": "805-922-6597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTHON",
        "first_name": "FRANK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "34825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lompoc, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.