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Active NPI 1053094425 Individual Practitioner Male Practitioner

Simon David

Licensed Psychiatric Technician • Colton, CA

Professional Overview & Biography Verified Profile Summary

Simon David is a registered healthcare professional specializing in Licensed Psychiatric Technician in Colton, CA. Practice services are available at 2511 S MCCARTY DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2511 S Mccarty Dr

Colton, CA 923249220

Telephone 9098554428
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

CMS Verified: 2023-08-10
Licensed Psychiatric Technician Primary Specialty

NUCC Taxonomy Code: 167G00000X

State License CA PT40884

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

8 Associated Practitioners
John Weekley

Counselor - Professional

NPI 1023737327
Kimberly Osoria

Licensed Vocational Nurse

NPI 1073472023
Jessica Hansson

Registered Nurse

NPI 1215779350
Joshua Ruelas

Counselor - Addiction (Substance Use Disorder)

NPI 1265363782
Arleen Scott

Counselor - Addiction (Substance Use Disorder)

NPI 1285245365
Christina Victor

Counselor - Addiction (Substance Use Disorder)

NPI 1417700196

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 10, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location August 10, 2023

Registered at 2511 S MCCARTY DR, COLTON, CA 923249220 (Tel: 9098554428)

📍
Updated Business Mailing Address August 10, 2023

Registered at 2511 S MCCARTY DR, COLTON, CA 923249220 (Tel: 9098554428)

👤
Provider Name / Credentials Updated August 10, 2023

Recorded as SIMON DAVID

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2023

Licensed Psychiatric Technician (License #PT40884 in CA)

🟢
Initial NPI Registration & Enumeration August 10, 2023

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: 1053094425
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2023
Last Update: August 10, 2023
Sole Proprietor: No

Mailing Address

2511 S Mccarty Dr

Colton, CA 923249220

Phone: 9098554428

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.