IndividualActive
Peter a
NPI 1255412813 · Licensed Psychiatric Technician · Los Angeles, CA
Provider details
- NPI number
- 1255412813
- Entity type
- Individual
- Primary specialty
- Licensed Psychiatric TechnicianNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 20836 (CA)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% 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
1925 Daly St
Los Angeles, CA 90031-3309
Phone: (323) 226-4447
Street-level locationGet directions
Mailing address
825 N Evergreen St
Burbank, CA 91505-2712
Registry dates
- Enumerated
- 2006-10-18
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.