WILLESHA MONIQUE FORD NPI 1730823212

NPI Information

  • NPI: 1730823212
  • Provider Name: WILLESHA MONIQUE FORD
  • Classification: Licensed Psychiatric Technician - 167G00000X
  • Entity Type: Individual
  • Address: 2050 FAIRMONT DR
    SAN LEANDRO, CA
    ZIP 94578
  • Phone: (510) 483-3030

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NPI Details

Willesha Monique Ford is a licensed psychiatric technician in San Leandro, 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. Willesha Monique Ford NPI is 1730823212. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2050 FAIRMONT DR
SAN LEANDRO, CA
ZIP 94578-001
Phone: (510) 483-3030

The enumeration date for this NPI number is 4/21/2022 and was last updated on 4/21/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1167G00000XLicensed Psychiatric Technician41175CALIFORNIAYes

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: 11/21/2025

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