Kamasha Monique Tanner

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN214524 Issued in AR

Practice address

1745 Blue Ridge Dr
Pomona, CA 91766-4111

Phone

(562) 719-5931

NPI assigned

Sep 30, 2019

Last updated

Sep 30, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Peace of Mind Home Healthcare

  • Home Health Agency
  • Diamond Bar, CA
  • NPI 1134768641
  NPD Authorized official
• Peace of Mind Home Healthcare,LLC

  • Home Health Agency
  • Diamond Bar, CA
  • NPI 1538074745
  Authorized official Same address or phone

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1255972469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 BLUE RIDGE DR",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917664111",
            "telephone_number": "562-719-5931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 BLUE RIDGE DR",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917664111",
            "telephone_number": "562-719-5931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "KAMASHA",
        "middle_name": "MONIQUE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "AR",
            "license": "VN214524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "POMONA",
            "affiliation": "N",
            "address_1": "1745 Blue Ridge Dr",
            "city": "Pomona",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917664111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Binh Kim Tang, PHARMD
• Carolyn Joyce Tang
• Katherine Shalane Tang
• Sharon D Tanghal, LCSW
• Jason C Tani, MD
• Kassi Tanner
• Chiranjeevi Tanubuddi
• Alexa Angela Tapia
• Irene Tapia
• Jacqueline Tapia, LVN

• Licensed Vocational Nurse in Pomona, CA
• Providers in Pomona, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.