Provider Demographics
NPI:1477159846
Name:BRIZUELA, FRANCISCO DANIEL (BS, LPT, NCPT3, CCMA)
Entity Type:Individual
Prefix:MR
First Name:FRANCISCO
Middle Name:DANIEL
Last Name:BRIZUELA
Suffix:
Gender:M
Credentials:BS, LPT, NCPT3, CCMA
Other - Prefix:MR
Other - First Name:DANIEL
Other - Middle Name:
Other - Last Name:BRIZUELA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NCPT3, CCMA
Mailing Address - Street 1:2019 S VAN NESS AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92707-2639
Mailing Address - Country:US
Mailing Address - Phone:714-371-5777
Mailing Address - Fax:
Practice Address - Street 1:2019 S VAN NESS AVE
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92707-2639
Practice Address - Country:US
Practice Address - Phone:714-317-3573
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-09
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20-CMHRS-00017225C00000X, 225C00000X
CA14680174H00000X
CA20-3194246RP1900X
CAPT2272018390200000X, 167G00000X
CA7053101YA0400X
CA13922959101YA0400X
CA1073468106S00000X
CA30-0051146N00000X
CA374044171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes167G00000XNursing Service ProvidersLicensed Psychiatric Technician
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor
No174H00000XOther Service ProvidersHealth Educator
No246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic
No171W00000XOther Service ProvidersContractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1073468OtherREGISTERED BEHAVIOR TECHNICIAN (RBT)
CA30-0051OtherEMERGENCY MEDICAL TECHNICIAN (EMT-I)
CAPT1284961217OtherLICENSED PSYCHIATRIC TECHNICIAN (LPT)
CA20-CMHRS-00017OtherCERTIFIED MENTAL HEALTH REHABILITATION SPECIALIST (CMHRS)
CACLNC01212024OtherCERTIFIED LEGAL NURSE CONSULTANT (CLNC)
CAPT2018-227OtherNATIONALLY CERTIFIED PSYCHIATRIC TECHNICIAN LEVEL 3 (NCPT3)
CA18302-17OtherCALIFORNIA CERTIFIED MEDICAL ASSISTANT (CCMA-AC)
CA13922959OtherSUBSTANCE USE DISORDER REGISTERED COUNSELOR (SUDRC)
CA20-3194OtherCERTIFIED PHLEBOTOMY TECHNICIAN (CPT)
CA052018CMTOtherCERTIFIED MEDICATION TECHNICIAN (CMT)