Tami Bailey
Individual provider Active NPI Licensed Vocational Nurse · San Jacinto, CA
NPI 1154741684 · NPPES record last updated Apr 23, 2014
Key facts
- NPI
- 1154741684
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 249939 (CA)
- Practice address
- 102 W Main St
San Jacinto, CA 92583-4121 - Phone
- (951) 663-4848
- NPI assigned
- Apr 23, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 249939 | CA | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 249939 | CA | Yes |
Addresses
Primary practice location
102 W Main St
San Jacinto, CA 92583-4121
Mailing address
PO Box 3868
Hemet, CA 92546-3868
Phone (951) 663-4848
Other providers in San Jacinto, CA
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- Rita Awender
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- Giovanna Balboa
- Theresa Baldwin
- Vidyamohan Balu
- Ramjibhai H Baraiya
- Karla Joanna Barajas
All providers in San Jacinto, CA · Licensed Vocational Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.