Active NPI
Noehly Partida
- Licensed Psychiatric Technician
- Pomona, CA
National Provider Identifier
1619328952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- 40124
- Practice address
- 790 E Bonita Ave
Pomona, CA 91767-1906 - Phone
- (909) 625-7207
- Fax
- (909) 626-1524
- NPI assigned
- Jun 28, 2016
- 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 | 40124 | CA | Primary |
Addresses
Primary practice location
790 E Bonita Ave
Pomona, CA 91767-1906
Mailing address
1337 S Palomares St
Pomona, CA 91766-4517
Phone (909) 292-5600
Other practice location 1
1337 S Palomares St
Pomona, CA 91766-4517
Phone (909) 292-5600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007848 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 9096261524@fax.telepacific.net | Health Information Exchange (HIE) |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564444800000",
"number": "1619328952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1337 S PALOMARES ST",
"city": "POMONA",
"state": "CA",
"postal_code": "917664517",
"telephone_number": "909-292-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 E BONITA AVE",
"city": "POMONA",
"state": "CA",
"postal_code": "917671906",
"telephone_number": "909-625-7207",
"fax_number": "909-626-1524"
}
],
"practiceLocations": [
{
"address_1": "1337 S Palomares St",
"address_purpose": "LOCATION",
"city": "Pomona",
"state": "CA",
"postal_code": "917664517",
"country_code": "US",
"telephone_number": "909-292-5600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARTIDA",
"first_name": "NOEHLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-28",
"last_updated": "2019-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "40124",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007848",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "9096261524@fax.telepacific.net",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "790 E Bonita Ave",
"city": "Pomona",
"state": "CA",
"country_code": "US",
"postal_code": "917671906",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.