Savong Tea

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN 269282 Issued in CA

Practice address

4311 E Andrews Ave
Fresno, CA 93726-7103

Phone

(559) 312-0676

NPI assigned

Apr 9, 2014

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

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": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399334400000",
    "number": "1093134850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 E ANDREWS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937267103",
            "telephone_number": "559-312-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 E ANDREWS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937267103",
            "telephone_number": "559-312-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEA",
        "first_name": "SAVONG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-09",
        "last_updated": "2014-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN 269282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa M Taylor, O.D.
• Tianna Jacquelyn Taylor
• Veronica Taylor
• Pooled Carolina Tchang
• TDC Convalescent Inc.
• Laura A Teasley, MD
• Irma Cuahtenango Tecomulapa, BT
• Randi Tedford, MA, RD
• Tilksew A Tedla
• Teen Harbor

• Licensed Vocational Nurse in Fresno, CA
• Providers in Fresno, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.