Tania Estrada, PSYCH TECH LICENSE

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

PT 36114 Issued in CA

Practice address

1126 N Grand Ave
Covina, CA 91724-1551

Phone

(562) 781-4041

NPI assigned

Oct 3, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416182400000",
    "number": "1831526094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16845 SAN BERNARDINO AVE APT 10",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923359225",
            "telephone_number": "909-319-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 N GRAND AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917241551",
            "telephone_number": "562-781-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "TANIA",
        "name_prefix": "Ms.",
        "credential": "PSYCH TECH LICENSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-03",
        "last_updated": "2014-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "PT 36114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Estrada
• Hector Estrada, M.S
• Rebecca Estrada
• Ryan Edward Estrada, PA-C
• Sandra Estrada
• Sandra Milena Estupinan Delgado
• Evans Dental DDS
• Tayonah Evans
• William D Evans V
• Catherine Marie Ewing-Moore

• Licensed Psychiatric Technician in Covina, CA
• Providers in Covina, CA by specialty
• Licensed Psychiatric Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; 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.