Individual provider Active NPI

Tanushri Thakran, DVM

  • Veterinarian
  • Santa Rosa, CA
National Provider Identifier
1164802963
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
20918 Issued in CA
Practice address
29 Howarth CT
Santa Rosa, CA 95405-5240
Phone
(510) 371-1422
NPI assigned
Jun 5, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X 20918 CA Primary

Addresses

Primary practice location

29 Howarth CT
Santa Rosa, CA 95405-5240

Mailing address

29 Howarth CT
Santa Rosa, CA 95405-5240
Phone (510) 371-1422

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
20918CAMDVeterinarian

NPI Registry JSON

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433462400000",
    "number": "1164802963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 HOWARTH CT",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954055240",
            "telephone_number": "510-371-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 HOWARTH CT",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954055240",
            "telephone_number": "510-371-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKRAN",
        "first_name": "TANUSHRI",
        "name_prefix": "Dr.",
        "credential": "DVM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "CA",
            "license": "20918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.