Crispulo T Tanglao, CADC-2

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

RA853510 Issued in CA

Practice address

2100 Napa Vallejo Hwy # 253M1&M2
2100 Napa Vallejo Hwy, BLGD 253 M1&M2
Napa, CA 94558-6234

Phone

(707) 257-1460

NPI assigned

Dec 26, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Crispulo T Tanglao Professional name

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": "1356480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356480000000",
    "number": "1083950828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 PARKSIDE DR",
            "address_2": "2001 PARKSIDE DRIVE",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945192527",
            "telephone_number": "551-804-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 NAPA VALLEJO HWY # 253M1&M2",
            "address_2": "2100 NAPA VALLEJO HWY, BLGD 253 M1&M2",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586234",
            "telephone_number": "707-257-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANGLAO",
        "first_name": "CRISPULO",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "CADC-2",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-26",
        "last_updated": "2012-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "RA853510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRISPULO",
            "last_name": "TANGLAO",
            "middle_name": "T",
            "prefix": "MR.",
            "credential": "ICADC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tyra Talosig
• Nancy Tamarisk, N.P.
• Ronald Tamarisk, N.P.
• Christian Tan
• Jack Tang
• Megan Tansey
• Juan Tapia
• Miriam Laura Tapia, DNP, FNP-C, PHN
• Verenice Tapia
• Megan Marie Tarantino

• Addiction (Substance Use Disorder) Counselor in Napa, CA
• Providers in Napa, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; 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.