Individual provider Active NPI

Rascel Datuin-Intia

  • Licensed Psychiatric Technician
  • Camarillo, CA
National Provider Identifier
1689840449
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Psychiatric TechnicianTaxonomy code 167G00000X
License
33937 Issued in CA
Practice address
1756 S Lewis Rd
Camarillo, CA 93012-8520
Phone
(805) 383-3669
Fax
(805) 987-5422
NPI assigned
May 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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 33937 CA Primary

Addresses

Primary practice location

1756 S Lewis Rd
Camarillo, CA 93012-8520

Mailing address

632 Kirk Ave
Ventura, CA 93003-5064
Phone (805) 383-3669

Other identifiers 1

IdentifierTypeStateIssuer
1326124579OtherARF

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
33937CAMDLicensed Psychiatric Technician

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1689840449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 KIRK AVE",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035064",
            "telephone_number": "805-383-3669",
            "fax_number": "805-987-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1756 S LEWIS RD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930128520",
            "telephone_number": "805-383-3669",
            "fax_number": "805-987-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATUIN-INTIA",
        "first_name": "RASCEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "33937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARF",
            "identifier": "1326124579",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.