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Deactivated NPI 1043753205 Deactivated / Inactive NPI Male Practitioner

David Vasquez

Licensed Psychiatric Technician • Colton, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, David Vasquez has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 21, 2016
NPI Deactivation Date August 27, 2018
Total Practice Duration ~2 Years of Practice (2016 – 2018)

Professional Overview & Biography Verified Profile Summary

David Vasquez was a registered Licensed Psychiatric Technician practicing in Colton, CA. Throughout an active medical career spanning 2 years, David Vasquez provided care at the practice location at 400 N PEPPER AVE until profile deactivation on 2018-08-27.

Practice Location & Contact Primary Location

Practice Address

400 N Pepper Ave

Colton, CA 923241801

Telephone 9095803145
Fax 9095802165
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Psychiatric Technician in Colton, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
83 Specialists

Practicing in Colton, CA (2427 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Psychiatric Technician Primary Specialty

NUCC Taxonomy Code: 167G00000X

State License CA 32265

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Linda Matthews

Registered Nurse

NPI 1003174889
Brandi Deuel

Registered Nurse

NPI 1003210972
Mark Midget

Registered Nurse

NPI 1013550664
Toya Shelton

Registered Nurse

NPI 1013565852
Nana Akua Bedford

Registered Nurse

NPI 1013699958
Brianne Pruitt

Registered Nurse - Psychiatric/Mental Health, Adult

NPI 1023345469

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 27, 2018

Record deactivated on August 27, 2018

NPI Profile Active November 21, 2016

NPI status registered as active in NPPES database

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Updated Practice Location November 21, 2016

Registered at 400 N PEPPER AVE, COLTON, CA 923241801 (Tel: 9095803145)

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Updated Business Mailing Address November 21, 2016

Registered at 400 N PEPPER AVE, COLTON, CA 923241801 (Tel: 9095803145)

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Provider Name / Credentials Updated November 21, 2016

Recorded as DAVID VASQUEZ

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2016

Licensed Psychiatric Technician (License #32265 in CA)

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Initial NPI Registration & Enumeration November 21, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043753205
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 21, 2016
Last Update: November 21, 2016
Deactivation Date: August 27, 2018

Mailing Address

400 N Pepper Ave

Colton, CA 923241801

Phone: 9095803145

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.