Coluzzi & Tetef Medical Corporation

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

COLUZZI & TETEF MEDICAL CORPORATION

Practice address

4746 Barranca Pkwy
Irvine, CA 92604-4728

Phone

(949) 653-9013

NPI assigned

Jul 25, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marisa Casanova

Title

Client Service Rep

Phone

(714) 619-5450

Specialties & licenses 1

Addresses

Other identifiers 3

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245974400000",
    "number": "1043400286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4746 BARRANCA PKWY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044728",
            "telephone_number": "949-653-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4746 BARRANCA PKWY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044728",
            "telephone_number": "949-653-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUZZI & TETEF MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2009-06-26",
        "status": "A",
        "authorized_official_last_name": "CASANOVA",
        "authorized_official_first_name": "MARISA",
        "authorized_official_title_or_position": "CLIENT SERVICE REP",
        "authorized_official_telephone_number": "714-619-5450"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0105720",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME PTAN",
            "identifier": "6204840001",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P004444356",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Hematology & Oncology Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Hematology & Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.