Chotinan Glass, PT

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

PT33661 Issued in CA

Practice address

115 Fesler St
Santa Maria, CA 93454-5818

Phone

(805) 922-6597

NPI assigned

Feb 12, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Chotinan Mahapiti Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1679997506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 FESLER ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545818",
            "telephone_number": "805-922-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 FESLER ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545818",
            "telephone_number": "805-922-6597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "CHOTINAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-12",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "PT33661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHOTINAN",
            "last_name": "MAHAPITI",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren Lynnell Ginter
• Vincent S. Giordano
• Rosemarie Virginia Giorgi, RDN
• Shari Gjerdrum, PHARMD
• Thor C Gjerdrum, MD
• Cassidy Glasser, PA-S
• Jennifer M Goeddel, MD
• Elaine Goggin, MSW
• Kenneth M Goldberg, DMD
• Tracie Goldsmith

• Licensed Psychiatric Technician in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Licensed Psychiatric Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.