Rudolph Christos Tescallo

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

534 B St
Santa Rosa, CA 95401-5211

Phone

(707) 579-0465

NPI assigned

Apr 25, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1043708951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BRENGLE CT",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949545844",
            "telephone_number": "707-849-1896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 B ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954015211",
            "telephone_number": "707-579-0465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "368 Fell St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941025144",
            "country_code": "US",
            "telephone_number": "415-861-0828",
            "fax_number": "415-861-0257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TESCALLO",
        "first_name": "RUDOLPH",
        "middle_name": "CHRISTOS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-25",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marianna J Terhune, CD, CMA, LS, CBE
• Maria Aldrina Zamora Territo, RD
• Miasha Natasha, Zola Terry
• Thabiti Alii Terry
• Setrak Terzian, DC
• Tanushri Thakran, DVM
• Brian Thalhamer, D.C.
• Kelsey Nicole Thayer, PA-C
• Wendy Ann Thayer, L.AC.
• The Annadel Group

• Marriage & Family Therapist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.