Active NPI
Julie Tang
- Dentist
- Rialto, CA
National Provider Identifier
1164790267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 41134
- Practice address
- 1817 N Riverside Ave
Rialto, CA 92376-8069 - Phone
- (909) 879-1024
- Fax
- (909) 879-1058
- NPI assigned
- Dec 5, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 41134 | CA | Primary |
Addresses
Primary practice location
1817 N Riverside Ave
Rialto, CA 92376-8069
Mailing address
1817 N Riverside Ave
Rialto, CA 92376-8069
Phone (909) 879-1024
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41134 | CA | MD | Pharmacist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Rialto, CA
- NPI 1285645465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323043200000",
"number": "1164790267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1817 N RIVERSIDE AVE",
"city": "RIALTO",
"state": "CA",
"postal_code": "923768069",
"telephone_number": "909-879-1024",
"fax_number": "909-879-1058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1817 N RIVERSIDE AVE",
"city": "RIALTO",
"state": "CA",
"postal_code": "923768069",
"telephone_number": "909-879-1024",
"fax_number": "909-879-1058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANG",
"first_name": "JULIE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-05",
"last_updated": "2011-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "41134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rialto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.