Active NPI
Charito Aguilar Rodriguez, LPT
- Licensed Psychiatric Technician
- Martinez, CA
National Provider Identifier
1518573153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- 33141
- Practice address
- 300 Ilene St
Martinez, CA 94553-2631 - Phone
- (925) 313-7980
- Fax
- (925) 646-2060
- NPI assigned
- Sep 18, 2020
- Last updated
- Sep 18, 2020
- 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 | 33141 | CA | Primary |
Addresses
Primary practice location
300 Ilene St
Martinez, CA 94553-2631
Mailing address
1230 Locust Dr
Vallejo, CA 94591-4309
Phone (707) 319-6045
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9222028 | Other | HEALTH CARD | |
| 9222028 | Other | HEALTH INSURANCE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Crodriguez@telecarecorp.com | Direct |
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 |
|---|---|---|---|
| 33141 | CA | MD | Pharmacist |
Interoperability endpoints
- crodriguez@telecarecorp.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600387200000",
"number": "1518573153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 LOCUST DR",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945914309",
"telephone_number": "707-319-6045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 ILENE ST",
"city": "MARTINEZ",
"state": "CA",
"postal_code": "945532631",
"telephone_number": "925-313-7980",
"fax_number": "925-646-2060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "CHARITO",
"middle_name": "AGUILAR",
"credential": "LPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-18",
"last_updated": "2020-09-18",
"certification_date": "2020-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "33141",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH CARD",
"identifier": "9222028",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH INSURANCE",
"identifier": "9222028",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Crodriguez@telecarecorp.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "300 Ilene St",
"city": "Martinez",
"state": "CA",
"country_code": "US",
"postal_code": "945532631",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Martinez, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.