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
Mailing address1111 N. Eldorado Street, Stockton, CA 95202

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