Individual provider Active NPI

Tanjula Drumgole, MFT

  • Marriage & Family Therapist
  • Temecula, CA
National Provider Identifier
1063420115
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT48706 Issued in CA
Practice address
41690 Enterprise Cir N Ste 226
Temecula, CA 92590-5660
Phone
(951) 594-0693
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT48706 CA Primary

Addresses

Primary practice location

41690 Enterprise Cir N Ste 226
Temecula, CA 92590-5660

Mailing address

PO Box 485
Sun City, CA 92586-0485
Phone (951) 594-0693

Other practice location 1

13800 Heacock St Ste D137
Moreno Valley, CA 92553-6276
Phone (951) 594-0693

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LMFT48706CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Soul Family Counseling Services, Inc. Marriage & Family Therapist CurrentSince Jul 28, 2024 Accepting new patients

Locations

13800 Heacock St
Ste D137
Moreno Valley, CA 92553
Phone (951) 594-0693

41690 Enterprise Cir N
Ste 226
Temecula, CA 92590
Phone (951) 594-0693

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1063420115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 485",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925860485",
            "telephone_number": "951-594-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41690 ENTERPRISE CIR N STE 226",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905660",
            "telephone_number": "951-594-0693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13800 Heacock St Ste D137",
            "address_purpose": "LOCATION",
            "city": "Moreno Valley",
            "state": "CA",
            "postal_code": "925536276",
            "country_code": "US",
            "telephone_number": "951-594-0693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRUMGOLE",
        "first_name": "TANJULA",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT48706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.