Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tyda Viveros

Individual provider Licensed Psychiatric Technician · NPI 1063946002

Tyda Viveros is a Licensed Psychiatric Technician in Stockton, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2017

Practice location Address checks out

1111 N El Dorado St
Stockton, CA 95202-1305
Phone: (209) 938-0228
Fax: (209) 938-0281
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Psychiatric Technician (primary) Taxonomy 167G00000X · Licence 37052 (CA)

Record details

NPI number1063946002
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 17, 2017
Last updated in NPPESApril 17, 2017

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