Active NPI
Kimberly Ann Lee-Tiglao, RT(R)
- Radiologic Technologist
- Vacaville, CA
National Provider Identifier
1114634417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- License
- RHF00090276
- Practice address
- 872 Rich Cir
Vacaville, CA 95687-7562 - Phone
- (925) 529-2594
- NPI assigned
- Nov 4, 2022
- 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 |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | RHF00090276 | CA | Primary |
Addresses
Primary practice location
872 Rich Cir
Vacaville, CA 95687-7562
Mailing address
872 Rich Cir
Vacaville, CA 95687-7562
Phone (925) 529-2594
Other names 1
- Kimberly Ann Lee
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 |
|---|---|---|---|
| RHF00090276 | CA | MD | Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667520000000",
"number": "1114634417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "872 RICH CIR",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956877562",
"telephone_number": "925-529-2594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "872 RICH CIR",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956877562",
"telephone_number": "925-529-2594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE-TIGLAO",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"credential": "RT(R)",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-04",
"last_updated": "2022-11-04",
"certification_date": "2022-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "CA",
"license": "RHF00090276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "LEE",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Vacaville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.