Laurie Lynne Garza, LPT

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

25538 Issued in CA

Practice address

5335 Craner Ave
N Hollywood, CA 91601-3313

Phone

(818) 927-4045

Fax

(818) 927-4016

NPI assigned

Aug 29, 2019

Last updated

Jul 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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

• ASC Treatment Group

  • Community/Behavioral Health Agency
  • North Hollywood, CA
  • NPI 1003942970
  NPD

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1417505702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2877 LANCER AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917682513",
            "telephone_number": "909-938-7306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5335 CRANER AVE",
            "city": "N HOLLYWOOD",
            "state": "CA",
            "postal_code": "916013313",
            "telephone_number": "818-927-4045",
            "fax_number": "818-927-4016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2457 Endicott St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900323047",
            "country_code": "US",
            "telephone_number": "323-227-5257",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6130 Vineland Ave",
            "address_purpose": "LOCATION",
            "city": "North Hollywood",
            "state": "CA",
            "postal_code": "916064914",
            "country_code": "US",
            "telephone_number": "818-766-8161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10540 Sherman Grove Ave",
            "address_purpose": "LOCATION",
            "city": "Sunland",
            "state": "CA",
            "postal_code": "910401913",
            "country_code": "US",
            "telephone_number": "818-352-5941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARZA",
        "first_name": "LAURIE",
        "middle_name": "LYNNE",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-29",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "25538",
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417505702",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Licensed Psychiatric Technician in N Hollywood, CA
• Providers in N Hollywood, 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 Jul 20, 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.