Liah Ferdeliz De Jesus Tanjuaquio, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

RN767070 Issued in CA

Practice address

1370 Dustin Dr Unit 11
Yuba City, CA 95993-2741

Phone

(818) 486-8271

NPI assigned

Dec 31, 2012

Last updated

Dec 31, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Ms. Liah Ferdeliz Mendoza De Jesus Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1356912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356912000000",
    "number": "1154667756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 DUSTIN DR UNIT 11",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959932741",
            "telephone_number": "818-486-8271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 DUSTIN DR UNIT 11",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959932741",
            "telephone_number": "818-486-8271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANJUAQUIO",
        "first_name": "LIAH FERDELIZ",
        "middle_name": "DE JESUS",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-31",
        "last_updated": "2012-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN767070",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "RN767070",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CA",
            "license": "RN767070",
            "primary": true
        },
        {
            "code": "163WR0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Rehabilitation",
            "state": "CA",
            "license": "RN767070",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIAH FERDELIZ",
            "last_name": "DE JESUS",
            "middle_name": "MENDOZA",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sukhdeep S. Takher, O.D.
• Richard Takiar
• Jayanth Talluri, M.D.
• Allison Sara Tallyn, RD
• Hieng Tang, PHARM. D.
• Mary Grace Tapawan-Serrano, M.D.
• Chelsea Tarrant
• Celeste Tavares
• Sandra Tawfik, PTLA
• Gary Richard Taxera, OD

• Home Health Registered Nurse in Yuba City, CA
• Providers in Yuba City, CA by specialty
• Home Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; 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.