Active NPI
Ricardo Larrain
- Licensed Psychiatric Technician
- Los Angeles, CA
National Provider Identifier
1699215277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- PT35645
- Practice address
- 2500 Wilshire Blvd
Los Angeles, CA 90057 - Phone
- (213) 639-2660
- NPI assigned
- Mar 2, 2017
- Sex
- Male
- 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 | PT35645 | CT | Primary |
Addresses
Primary practice location
2500 Wilshire Blvd
Los Angeles, CA 90057
Mailing address
200 South Delano #2
Anaheim, CA 92804
Phone (818) 399-6673
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT35645 | CT | MD | Licensed Psychiatric Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488758400000",
"number": "1699215277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 SOUTH DELANO #2",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "92804",
"telephone_number": "818-399-6673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 WILSHIRE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90057",
"telephone_number": "213-639-2660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARRAIN",
"first_name": "RICARDO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-02",
"last_updated": "2017-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CT",
"license": "PT35645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.