Active NPI
Horatio Minter III, LPT
- Licensed Psychiatric Technician
- Spring Valley, CA
National Provider Identifier
1811328412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- PT25785
- Practice address
- 9879 Ivy St
Spring Valley, CA 91977-7031 - Phone
- (619) 985-5538
- NPI assigned
- Dec 6, 2013
- 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 | PT25785 | CA | Primary |
Addresses
Primary practice location
9879 Ivy St
Spring Valley, CA 91977-7031
Mailing address
9879 Ivy St
Spring Valley, CA 91977-7031
Phone (619) 985-5538
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 |
|---|---|---|---|
| PT25785 | CA | MD | Licensed Psychiatric Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386288000000",
"number": "1811328412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9879 IVY ST",
"city": "SPRING VALLEY",
"state": "CA",
"postal_code": "919777031",
"telephone_number": "619-985-5538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9879 IVY ST",
"city": "SPRING VALLEY",
"state": "CA",
"postal_code": "919777031",
"telephone_number": "619-985-5538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINTER",
"first_name": "HORATIO",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "LPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-12-06",
"last_updated": "2013-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "PT25785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.