IndividualActive
Dannie Nainggolan
NPI 1174388375 · Licensed Psychiatric Technician · Riverside, CA
Dannie Nainggolan is a Licensed Psychiatric Technician provider in Riverside, CA (NPI 1174388375).
Provider details
- NPI number
- 1174388375
- Entity type
- Individual
- Primary specialty
- Licensed Psychiatric TechnicianNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(50/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
17270 Roosevelt St
Riverside, CA 92508-9523
Phone: (951) 780-2514
Street-level locationGet directions
Mailing address
5870 Arlington Ave
Riverside, CA 92504-2037
Registry dates
- Enumerated
- 2024-02-16
- Last updated
- 2025-07-30
- Certified
- 2025-07-30
Frequently asked questions
- What is Dannie Nainggolan's NPI number?
- Dannie Nainggolan's National Provider Identifier (NPI) is 1174388375, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dannie Nainggolan's specialty?
- Dannie Nainggolan is listed in the NPPES registry with a primary specialty of Licensed Psychiatric Technician (Nursing Service Providers).
- Where is Dannie Nainggolan located?
- Dannie Nainggolan's practice location on file with NPPES is 17270 Roosevelt St, Riverside, CA 92508-9523.
- What is Dannie Nainggolan's phone number?
- The practice phone number listed in the NPPES registry for Dannie Nainggolan is (951) 780-2514.
- Is Dannie Nainggolan's NPI active?
- Yes — Dannie Nainggolan's NPI (1174388375) is active in the NPPES registry as of the last update on 2025-07-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.