Nelson Jose Bolanos, PSYCHIATRIC TECH.
NPI 1376101212ActiveIndividual· Licensed Psychiatric Technician· Pomona, CA
Licensed Psychiatric Technician (PSYCHIATRIC TECH.) in Pomona, California, licensed in CA, with an NPI issued in June 2019.
Overview
| NPI | 1376101212 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYCHIATRIC TECH. |
| Sole proprietor | No |
| NPI issued | Jun 5, 2019 |
| Last updated in NPPES | Jun 17, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Licensed Psychiatric Technician Primary | 167G00000X | PT37969 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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