Roy Villena Tatlonghari, RN-CANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

LIC#604372 Issued in CA

Practice address

4650 Sunset Blvd
Ms 125
Los Angeles, CA 90027

Phone

(323) 361-2533

Fax

(323) 361-8095

NPI assigned

Apr 6, 2010

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270512000000",
    "number": "1053636720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 27980, CHILDRENS HOSPITAL LOS ANGELES",
            "address_2": "MS 125",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900270980",
            "telephone_number": "323-361-4206",
            "fax_number": "323-361-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 SUNSET BLVD",
            "address_2": "MS 125",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90027",
            "telephone_number": "323-361-2533",
            "fax_number": "323-361-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATLONGHARI",
        "first_name": "ROY",
        "middle_name": "VILLENA",
        "name_prefix": "Mr.",
        "credential": "RN-CANP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-06",
        "last_updated": "2010-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "LIC#604372",
            "primary": true
        },
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "CA",
            "license": "LIC#604372",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FURNISHING LICENSE",
            "identifier": "15203",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Tatelman
• John Tates, RRT, RCP
• Satoshi Tateshima, MD
• Tati & Papi Home Health Care, Inc.
• Sergei Tatishchev, M.D.
• Lindsay Marie Tatman, DMD, MS
• Kari Ramela Tatoian
• Michael Taton
• Adriana Tatoyan
• Michael Andrew Tatrai, PT

• Adult Health Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; 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.