Active NPI
Preciliana Yanez, LPT
- Licensed Psychiatric Technician
- Ukiah, CA
National Provider Identifier
1972952349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- 38062
- Practice address
- 564 S Dora St
Ste. D
Ukiah, CA 95482 - Phone
- (707) 472-0362
- NPI assigned
- Jun 7, 2016
- Sex
- Female
- 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 | 38062 | CA | Primary |
Addresses
Primary practice location
564 S Dora St
Ste. D
Ukiah, CA 95482
Mailing address
1488 Knights Row
Yuba City, CA 95991-2825
Phone (530) 237-7558
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 |
|---|---|---|---|
| 38062 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465257600000",
"number": "1972952349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1488 KNIGHTS ROW",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "959912825",
"telephone_number": "530-237-7558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "564 S DORA ST",
"address_2": "STE. D",
"city": "UKIAH",
"state": "CA",
"postal_code": "95482",
"telephone_number": "707-472-0362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANEZ",
"first_name": "PRECILIANA",
"credential": "LPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-07",
"last_updated": "2016-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "38062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.