Individual provider Active NPI

Arselia Puga

  • Licensed Psychiatric Technician
  • Fresno, CA
National Provider Identifier
1629567276
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Psychiatric TechnicianTaxonomy code 167G00000X
License
35128 Issued in CA
Practice address
2934 N Fresno St
Fresno, CA 93703-1123
Phone
(559) 549-6697
NPI assigned
May 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Psychiatric Technician 167G00000X
Licensed Psychiatric Technician 167G00000X 35128 CA Primary

Addresses

Primary practice location

2934 N Fresno St
Fresno, CA 93703-1123

Mailing address

1234 Elm CT
Hanford, CA 93230-4249
Phone (559) 362-6326

Other practice location 1

1234 Elm Ct
Hanford, CA 93230-4249
Phone (559) 362-6326

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

LicenseStateTypeSpecialty
35128CAMDLicensed Psychiatric Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Star Behavioral Health, Inc. PastSince Mar 27, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1629567276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 ELM CT",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932304249",
            "telephone_number": "559-362-6326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2934 N FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937031123",
            "telephone_number": "559-549-6697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1234 Elm Ct",
            "address_purpose": "LOCATION",
            "city": "Hanford",
            "state": "CA",
            "postal_code": "932304249",
            "country_code": "US",
            "telephone_number": "559-362-6326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUGA",
        "first_name": "ARSELIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-08",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "35128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.