Active NPI
Carlen Penuliar
- Licensed Psychiatric Technician
- Lakewood, CA
National Provider Identifier
1790698819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- 43392
- Practice address
- 20002 Flallon Ave
Lakewood, CA 90715-1034 - Phone
- (562) 500-6447
- NPI assigned
- Sep 28, 2026
- Last updated
- Sep 28, 2026
- Sex
- Female
- 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 | 43392 | CA | Primary |
Addresses
Primary practice location
20002 Flallon Ave
Lakewood, CA 90715-1034
Mailing address
20002 Flallon Ave
Lakewood, CA 90715-1034
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790553600000",
"number": "1790698819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20002 FLALLON AVE",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907151034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20002 FLALLON AVE",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907151034",
"telephone_number": "562-500-6447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENULIAR",
"first_name": "CARLEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-28",
"last_updated": "2026-09-28",
"certification_date": "2026-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "43392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.