Active NPI
Linda W Tate, PSC II
- Counselor
- Vallejo, CA
National Provider Identifier
1114051760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- N9219988
- Practice address
- 1027 Alabama St
Vallejo, CA 94590-4511 - Phone
- (707) 558-1600
- Fax
- (707) 558-1606
- NPI assigned
- Mar 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | N9219988 | CA | Primary |
Addresses
Primary practice location
1027 Alabama St
Vallejo, CA 94590-4511
Mailing address
1080 Marina Village Pkwy
Suite 100
Alameda, CA 94501-6427
Phone (510) 747-0527
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
| License | State | Type | Specialty |
|---|---|---|---|
| N9219988 | CA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185321600000",
"number": "1114051760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1080 MARINA VILLAGE PKWY",
"address_2": "SUITE 100",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945016427",
"telephone_number": "510-747-0527",
"fax_number": "510-337-7969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1027 ALABAMA ST",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945904511",
"telephone_number": "707-558-1600",
"fax_number": "707-558-1606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATE",
"first_name": "LINDA",
"middle_name": "W",
"credential": "PSC II",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2007-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "N9219988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vallejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.