Garnet Tattoo

Primary specialty

Medical Art Specialist/TechnologistTaxonomy code 246ZA2600X

Legal business name

GARNET TATTOO

Practice address

1968 Garnet Ave
San Diego, CA 92109-3555

Phone

(619) 942-9737

NPI assigned

Jan 13, 2016

Organization subpart

No

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

Authorized official

Name

Toni Louise Wallin

Title

Manager

Phone

(612) 214-1311

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shane Wallin

  • Medical Art Specialist/Technologist
  • San Diego, CA
  • NPI 1104282177

  Art, Medical

  NPD (past)

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1194181602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1968 GARNET AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921093555",
            "telephone_number": "619-942-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1968 GARNET AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921093555",
            "telephone_number": "619-942-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARNET TATTOO",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "WALLIN",
        "authorized_official_first_name": "TONI",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "612-214-1311"
    },
    "taxonomies": [
        {
            "code": "246ZA2600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Art, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregg Garner, D.O.
• Jardena Garner, PA
• Reid Mackenzie Ginter Garner
• Sarah Jolynn Garner, LCSW
• Stephen Daniel Garner
• Christian Garnica, PSYD
• Elizabeth Ann Garnier, LPT
• Ramona Stephanie Garnier, PHD
• Holly Marie Garofalo
• Leo Garofalo

• Medical Art Specialist/Technologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Medical Art Specialist/Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.