Organization Active NPI

Knowble Health PC

  • Internal Medicine Physician
  • Cerritos, CA
National Provider Identifier
1164273710
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
KNOWBLE HEALTH PC
Practice address
12915 Berkhamsted St
Cerritos, CA 90703-7235
Phone
(562) 644-5459
NPI assigned
Apr 1, 2024
Last updated
Mar 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Authorized official

Name
Channing Tatum
Title
Clinical Operations RN
Phone
(919) 885-1443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

12915 Berkhamsted St
Cerritos, CA 90703-7235

Mailing address

12915 Berkhamsted St
Cerritos, CA 90703-7235
Phone (562) 644-5459

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773964800000",
    "number": "1164273710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12915 BERKHAMSTED ST",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907037235",
            "telephone_number": "562-644-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12915 BERKHAMSTED ST",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907037235",
            "telephone_number": "562-644-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOWBLE HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-01",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A",
        "authorized_official_last_name": "TATUM",
        "authorized_official_first_name": "CHANNING",
        "authorized_official_title_or_position": "CLINICAL OPERATIONS RN",
        "authorized_official_telephone_number": "919-885-1443"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.