Active NPI
Jessica Rachelle Salib-Valdez, LPT
- Licensed Psychiatric Technician
- Monrovia, CA
National Provider Identifier
1427341437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- PT 35961
- Practice address
- 902 S Myrtle Ave
Monrovia, CA 91016-3427 - Phone
- (626) 358-8964
- NPI assigned
- May 24, 2011
- Reactivated
- Jun 23, 2023
- Last updated
- Jun 23, 2023
- Sex
- Female
- Sole proprietor
- No
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 | PT 35961 | CA | Primary |
Addresses
Primary practice location
902 S Myrtle Ave
Monrovia, CA 91016-3427
Mailing address
902 S Myrtle Ave
Monrovia, CA 91016-3427
Phone (626) 358-8964
Other practice location 1
762 Cypress St
San Dimas, CA 91773-3505
Phone (909) 599-1227 ext. 2206
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 |
|---|---|---|---|
| PT 35961 | CA | MD | Licensed Psychiatric Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687478400000",
"number": "1427341437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 S MYRTLE AVE",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910163427",
"telephone_number": "626-358-8964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 S MYRTLE AVE",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910163427",
"telephone_number": "626-358-8964"
}
],
"practiceLocations": [
{
"address_1": "762 Cypress St",
"address_purpose": "LOCATION",
"city": "San Dimas",
"state": "CA",
"postal_code": "917733505",
"country_code": "US",
"telephone_number": "909-599-1227 x2206",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SALIB-VALDEZ",
"first_name": "JESSICA",
"middle_name": "RACHELLE",
"credential": "LPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-24",
"last_updated": "2023-06-23",
"certification_date": "2023-06-23",
"deactivation_date": "2023-05-09",
"reactivation_date": "2023-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "PT 35961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monrovia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.