Active NPI
Dameon Butler
- Licensed Psychiatric Technician
- San Luis Obispo, CA
National Provider Identifier
1780177261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- 36665
- Practice address
- 2945 McMillan Ave Ste 240
San Luis Obispo, CA 93401-6771 - Phone
- (805) 439-4890
- NPI assigned
- Jun 11, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | 36665 | CA | Primary |
Addresses
Primary practice location
2945 McMillan Ave Ste 240
San Luis Obispo, CA 93401-6771
Mailing address
2945 McMillan Ave Ste 240
San Luis Obispo, CA 93401-6771
Phone (805) 439-4890
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 |
|---|---|---|---|
| 36665 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528675200000",
"number": "1780177261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2945 MCMILLAN AVE STE 240",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934016771",
"telephone_number": "805-439-4890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2945 MCMILLAN AVE STE 240",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934016771",
"telephone_number": "805-439-4890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "DAMEON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-11",
"last_updated": "2018-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "36665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.