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MR. FERNANDO CARLOS DOMINGUEZ LPT NPI 1700078607


NPI Information

NPI: 1700078607
Provider Name: MR. FERNANDO CARLOS DOMINGUEZ, LPT
Classification: Licensed Psychiatric Technician - 167G00000X
Entity Type: Individual
Address:
300 HILLMOT AVE
VENTURA, CA
ZIP 93003
Phone: (805) 652-6727
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MR. Fernando Carlos Dominguez, LPT is a licensed psychiatric technician in Ventura, CA. The provider is an individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. MR. Fernando Carlos Dominguez, LPT NPI is 1700078607. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

300 HILLMOT AVE
VENTURA, CA
ZIP 93003
Phone: (805) 652-6727

The enumeration date for this NPI number is 8/14/2007 and was last updated on 8/14/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1167G00000XLicensed Psychiatric TechnicianPT26056CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.