Active NPI
Ingrid Azucena Vonjo, PT
- Licensed Psychiatric Technician
- Pico Rivera, CA
National Provider Identifier
1427363555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- PT35093
- Practice address
- 9140 Whittier Blvd
Pico Rivera, CA 90660-2444 - Phone
- (562) 801-4626
- Fax
- (562) 801-4630
- NPI assigned
- Aug 12, 2010
- Sex
- Female
- 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 | PT35093 | CA | Primary |
Addresses
Primary practice location
9140 Whittier Blvd
Pico Rivera, CA 90660-2444
Mailing address
9140 Whittier Blvd
Pico Rivera, CA 90660-2444
Phone (562) 801-4626
Other names 1
- Ingrid Azucena Contreras
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 |
|---|---|---|---|
| PT35093 | CA | MD | Licensed Psychiatric Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281571200000",
"number": "1427363555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9140 WHITTIER BLVD",
"city": "PICO RIVERA",
"state": "CA",
"postal_code": "906602444",
"telephone_number": "562-801-4626",
"fax_number": "562-801-4630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9140 WHITTIER BLVD",
"city": "PICO RIVERA",
"state": "CA",
"postal_code": "906602444",
"telephone_number": "562-801-4626",
"fax_number": "562-801-4630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VONJO",
"first_name": "INGRID",
"middle_name": "AZUCENA",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-12",
"last_updated": "2010-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "PT35093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "INGRID",
"last_name": "CONTRERAS",
"middle_name": "AZUCENA",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pico Rivera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.