Individual provider · Type 1 NPI

Jairo Diaz

Licensed Psychiatric Technician · San Luis Obispo, CA

NPI number 1891284915 Active

Practice location

2180 Johnson Ave
San Luis Obispo, CA 93401-4558

Call (805) 458-5755 Map

Mailing address

1986 Brighton Ave
Grover Beach, CA 93433-1816

Specialties and licenses

Taxonomy	Code	License
Licensed Psychiatric Technician Primary	167G00000X	PT41795 (CA)
Student in an Organized Health Care Education/Training Program	390200000X	None listed

Licensed Psychiatric Technician: 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 dis…

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About NPI 1891284915

Jairo Diaz's National Provider Identifier is 1891284915, issued on May 3, 2018. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in San Luis Obispo, CA. The record was last updated on Jan 15, 2026.