Individual provider Active NPI

Liezl Tanega Tuason

  • Addiction (Substance Use Disorder) Counselor
  • Rancho Cucamonga, CA
National Provider Identifier
1255828224
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
R1294250318 Issued in CA
Practice address
8689 Calle del Prado
Rancho Cucamonga, CA 91730-1121
Phone
(626) 858-4920
Fax
(626) 858-4923
NPI assigned
Apr 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X R1294250318 CA Primary

Addresses

Primary practice location

8689 Calle del Prado
Rancho Cucamonga, CA 91730-1121

Mailing address

8689 Calle del Prado
Rancho Cucamonga, CA 91730-1121
Phone (626) 858-4920

Other identifiers 1

IdentifierTypeStateIssuer
R1294140318OtherCACCAPP

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
R1294250318CAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1255828224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8689 CALLE DEL PRADO",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301121",
            "telephone_number": "626-858-4920",
            "fax_number": "626-858-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8689 CALLE DEL PRADO",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301121",
            "telephone_number": "626-858-4920",
            "fax_number": "626-858-4923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUASON",
        "first_name": "LIEZL",
        "middle_name": "TANEGA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-16",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1294250318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCAPP",
            "identifier": "R1294140318",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; 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.