Tara Jean Teachout

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

2550 E. Foothill Blvd
Pacific Clinics
Pasadena, CA 91107

Phone

(626) 463-1021

Fax

(626) 578-0948

NPI assigned

Dec 12, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386806400000",
    "number": "1114358306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 E. FOOTHILL BLVD",
            "address_2": "PACIFIC CLINICS",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91107",
            "telephone_number": "626-463-1021",
            "fax_number": "626-578-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 E. FOOTHILL BLVD",
            "address_2": "PACIFIC CLINICS",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91107",
            "telephone_number": "626-463-1021",
            "fax_number": "626-578-0948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEACHOUT",
        "first_name": "TARA",
        "middle_name": "JEAN",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-12",
        "last_updated": "2013-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steve Taylor, PHD
• Thomas Taylor, M.D.
• Zachary Taylore
• Ohannes Manuel Tchaboukian, DDS
• Arman Tchoukadarian, DC
• Team Home Care, Inc.
• Ashley Tearston, AMFT
• William Tebuseeke, RN
• Ted E Marriott, D.C., a Professional Chiropractic Corporation
• Lakshmi C. Tegulapalle, D.O.

• Student in an Organized Health Care Education/Training Program in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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.