Organization Active NPI

Talcada

  • Clinical Medical Laboratory
  • Temecula, CA
National Provider Identifier
1265231336
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
TALCADA
Practice address
41743 Enterprise Cir N Ste 205
Temecula, CA 92590-5625
Phone
(951) 877-4009
Fax
(951) 430-6022
NPI assigned
Mar 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Authorized official

Name
Tikee Pittman
Title
President
Phone
(951) 877-4009

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

41743 Enterprise Cir N Ste 205
Temecula, CA 92590-5625

Mailing address

41743 Enterprise Cir N Ste 205
Temecula, CA 92590-5625

National Provider Directory

National Provider Directory

Locations

41743 Enterprise Cir N
Ste 205
Temecula, CA 92590
Phone (951) 877-4009

NPI Registry JSON

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

{
    "created_epoch": "1741651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1265231336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41743 ENTERPRISE CIR N STE 205",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41743 ENTERPRISE CIR N STE 205",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905625",
            "telephone_number": "951-877-4009",
            "fax_number": "951-430-6022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALCADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "TIKEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-877-4009"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.