DANNIE NAINGGOLAN
NPI 1174388375
Licensed Psychiatric Technician in Riverside, CA
NPI Status: Active since February 16, 2024
Contact Information
17270 ROOSEVELT ST
RIVERSIDE, CA
ZIP 92508
Phone: (951) 780-2514
- Individual
- Male
- Licensed Psychiatric Technician
About DANNIE NAINGGOLAN
This page provides the complete NPI Profile along with additional information for Dannie Nainggolan, a provider established in Riverside, California with a medical specialization in Licensed Psychiatric Technician. The healthcare provider is registered in the NPI registry with number 1174388375 assigned on February 2024. The practitioner's primary taxonomy code is 167G00000X. The provider is registered as an individual and his NPI record was last updated July 2025.
- NPI
- 1174388375
- Provider Name
- DANNIE NAINGGOLAN
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 17270 ROOSEVELT ST RIVERSIDE, CA 92508
- Location Phone
- (951) 780-2514
- Mailing Address
- 5870 ARLINGTON AVE RIVERSIDE, CA 92504
- Mailing Phone
- (951) 683-6596
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-16-2024
- Last Update Date
- 07-30-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Psychiatric Technician
- Taxonomy Code
- 167G00000X
- Type
- Nursing Service Providers
- Taxonomy Description
- 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.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 7 | 4 | 3 | 8 | 8 | 3 | 7 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 14 | 4 | 6 | 8 | 16 | 3 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 4 + 4 + 6 + 8 + 1 + 6 + 3 + 1 + 4 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1174388375 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1831365246 | MARLENE PERSONETT Individual | Counselor | 17270 ROOSEVELT ST RIVERSIDE, CA 92508 (951) 780-2541 |
| 1467612226 | GARY WARREN Individual | Counselor | 17270 ROOSEVELT ST RIVERSIDE, CA 92508 (951) 683-6596 |
| 1831359694 | SOLAR RATNARANSY Individual | Counselor | 17270 ROOSEVELT ST RIVERSIDE, CA 92508 (951) 683-6596 |
| 1730349598 | VICTORIA WALKER Individual | Counselor | 17270 ROOSEVELT ST RIVERSIDE, CA 92508 (951) 683-6596 |
| 1184884942 | ROBERT NELSON Individual | Counselor | 17270 ROOSEVELT ST RIVERSIDE, CA 92508 (951) 683-6596 |
| 1467614560 | DYLAN THOMAS KROUSE Individual | Counselor | 17270 ROOSEVELT ST RIVERSIDE, CA 92508 (951) 683-6596 |
| 1588820385 | JUSTIN R REDDICK Individual | Counselor | 17270 ROOSEVELT ST RIVERSIDE, CA 92508 (951) 683-6596 |
| 1871934828 | JULIO C. IBARRA Individual | Counselor (Addiction (Substance Use Disorder)) | 17270 ROOSEVELT ST RIVERSIDE, CA 92508 (951) 780-2541 |
| 1679011027 | ANN MARIE KENNEDY RADT-1 Individual | Case Manager/Care Coordinator | 17270 ROOSEVELT ST RIVERSIDE, CA 92508 (951) 780-2541 |
| 1457860413 | MICHAEL ANTHONY KAMPHUIS Individual | Counselor (Addiction (Substance Use Disorder)) | 17270 ROOSEVELT ST RIVERSIDE, CA 92508 (951) 683-6596 |
| 1932601499 | IGNACIO LOPEZ SR. Individual | Counselor (Addiction (Substance Use Disorder)) | 17270 ROOSEVELT ST RIVERSIDE, CA 92508 (951) 780-2541 |
| 1942639026 | CHRISTINA AUDELO Individual | Counselor (Addiction (Substance Use Disorder)) | 17270 ROOSEVELT ST RIVERSIDE, CA 92508 (951) 683-6596 |
| 1871095984 | RUBEN SALAS Individual | Counselor (Addiction (Substance Use Disorder)) | 17270 ROOSEVELT ST RIVERSIDE, CA 92508 (951) 683-6596 |
| 1053817767 | ANGELO MARTIN SANCHEZ Individual | Counselor (Addiction (Substance Use Disorder)) | 17270 ROOSEVELT ST RIVERSIDE, CA 92508 (951) 683-6596 |
| 1124517503 | DOUGLAS WADE PALMER JR. Individual | Counselor (Addiction (Substance Use Disorder)) | 17270 ROOSEVELT ST RIVERSIDE, CA 92508 (951) 683-6596 |
| 1285126151 | ALEXANDRA NICOLE OROZCO Individual | Licensed Vocational Nurse | 17270 ROOSEVELT ST RIVERSIDE, CA 92508 (951) 683-6596 |
| 1467921056 | GARRETT PRESTON CHISM Individual | Counselor (Addiction (Substance Use Disorder)) | 17270 ROOSEVELT ST RIVERSIDE, CA 92508 (951) 683-6596 |
| 1609349943 | HANNAH WHITING LVN Individual | Licensed Vocational Nurse | 17270 ROOSEVELT ST RIVERSIDE, CA 92508 (951) 780-2541 |
| 1003380114 | BRANDON WALTER OARE Individual | Counselor (Addiction (Substance Use Disorder)) | 17270 ROOSEVELT ST RIVERSIDE, CA 92508 (951) 780-2541 |
| 1942780945 | CHRISTINE MARIE SCEARCE LVN Individual | Licensed Vocational Nurse | 17270 ROOSEVELT ST RIVERSIDE, CA 92508 (951) 683-6596 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174388375, enumerated in the NPI registry as an "individual" on February 16, 2024
The provider is located at 17270 Roosevelt St Riverside, Ca 92508 and the phone number is (951) 780-2514
The provider's speciality is Licensed Psychiatric Technician with taxonomy code 167G00000X
This NPI record was last updated on February 16, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.