Radgie Tablada, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

656131 Issued in CA

Practice address

1011 Camino del Rio S
Suite 340
San Diego, CA 92108-3531

Phone

(619) 278-0016

Fax

(877) 777-3597

NPI assigned

Feb 19, 2008

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": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1154599520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 CAMINO DEL RIO S",
            "address_2": "SUITE 340",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083531",
            "telephone_number": "619-278-0016",
            "fax_number": "877-777-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 CAMINO DEL RIO S",
            "address_2": "SUITE 340",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083531",
            "telephone_number": "619-278-0016",
            "fax_number": "877-777-3597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABLADA",
        "first_name": "RADGIE",
        "name_prefix": "Mr.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "656131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dalia R Tabibian
• Sepehr S. Tabibzadeh, M.D.
• Marvin Palma Tabije
• Ariana Tabing, M.D.
• Jordan Anthony Tabish, PHARMD
• Aracely Tablas
• Daniela Tablas
• Berenice Taboada Hernandez, BA
• Nadia Taboada
• William Taboas, PHD

• Registered Nurse in San Diego, CA
• Providers in San Diego, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.