Active NPI
Jacqueline P Rojas, L.P.T
- Licensed Psychiatric Technician
- Visalia, CA
National Provider Identifier
1578608568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- PT 29364
- Practice address
- 6500 S Mooney Blvd
Suite B
Visalia, CA 93277-9535 - Phone
- (559) 594-4969
- NPI assigned
- Feb 20, 2007
- 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 | PT 29364 | CA | Primary |
Addresses
Primary practice location
6500 S Mooney Blvd
Suite B
Visalia, CA 93277-9535
Mailing address
6500 S Mooney Blvd Unit B
Visalia, CA 93277-9535
Phone (559) 685-1200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT 29364 | Other | CA | LPT |
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 29364 | CA | MD | Licensed Psychiatric Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292889600000",
"number": "1578608568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6500 S MOONEY BLVD UNIT B",
"city": "VISALIA",
"state": "CA",
"postal_code": "932779535",
"telephone_number": "559-685-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 S MOONEY BLVD",
"address_2": "SUITE B",
"city": "VISALIA",
"state": "CA",
"postal_code": "932779535",
"telephone_number": "559-594-4969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROJAS",
"first_name": "JACQUELINE",
"middle_name": "P",
"credential": "L.P.T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2010-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "PT 29364",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPT",
"identifier": "PT 29364",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.