Individual provider Active NPI

Ayana Shakera Dawkins

  • Licensed Psychiatric Technician
  • Oceanside, CA
National Provider Identifier
1750006201
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Psychiatric TechnicianTaxonomy code 167G00000X
License
41530 Issued in CA
Practice address
321 Cassidy St
Oceanside, CA 92054-5314
Phone
(760) 721-2171
NPI assigned
Oct 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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 41530 CA Primary
Licensed Vocational Nurse 164X00000X 41530 CA

Addresses

Primary practice location

321 Cassidy St
Oceanside, CA 92054-5314

Mailing address

321 Cassidy St
Oceanside, CA 92054-5314
Phone (760) 721-2171

Other practice location 1

1330 W Ramsey St
Banning, CA 92220-4477
Phone (951) 849-8674

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Research Foundation Inc PastSince Feb 19, 2023 Accepting new patients
Community Research Foundation Inc PastSince Feb 19, 2023 Accepting new patients

Organizations & group practices 2

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": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1750006201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 CASSIDY ST",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920545314",
            "telephone_number": "760-721-2171",
            "fax_number": "760-721-8582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 CASSIDY ST",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920545314",
            "telephone_number": "760-721-2171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1330 W Ramsey St",
            "address_purpose": "LOCATION",
            "city": "Banning",
            "state": "CA",
            "postal_code": "922204477",
            "country_code": "US",
            "telephone_number": "951-849-8674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAWKINS",
        "first_name": "AYANA",
        "middle_name": "SHAKERA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-06",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "41530",
            "primary": true
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "41530",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.