Individual provider Active NPI

Voltaire Magaoay Hortizuela I

  • Licensed Psychiatric Technician
  • Stockton, CA
National Provider Identifier
1619634565
Registry record updated Nov 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Psychiatric TechnicianTaxonomy code 167G00000X
License
41757 Issued in CA
Practice address
541 Sutherland Dr
Stockton, CA 95210-4468
Phone
(209) 518-8505
NPI assigned
Nov 25, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Psychiatric Technician 167G00000X 41757 CA Primary

Addresses

Primary practice location

541 Sutherland Dr
Stockton, CA 95210-4468

Mailing address

541 Sutherland Dr
Stockton, CA 95210-4468
Phone (209) 518-8505

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": "1637798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637798400000",
    "number": "1619634565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 SUTHERLAND DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952104468",
            "telephone_number": "209-518-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 SUTHERLAND DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952104468",
            "telephone_number": "209-518-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORTIZUELA",
        "first_name": "VOLTAIRE",
        "middle_name": "MAGAOAY",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-25",
        "last_updated": "2021-11-25",
        "certification_date": "2021-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "41757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.