Individual provider Active NPI

Nver Tadevosyan Sr.

  • Driver
  • Selma, CA
National Provider Identifier
1285713644
Registry record updated Aug 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
D2737440 Issued in CA
Practice address
1507 Dockery Ave
Selma, CA 93662-9332
Phone
(559) 230-7360
Fax
(559) 897-5266
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X D2737440 CA Primary

Addresses

Primary practice location

1507 Dockery Ave
Selma, CA 93662-9332

Mailing address

1507 Dockery Ave
Selma, CA 93662-9332
Phone (559) 230-7360

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
D2737440CAMDDriver

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314748800000",
    "number": "1285713644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 DOCKERY AVE",
            "city": "SELMA",
            "state": "CA",
            "postal_code": "936629332",
            "telephone_number": "559-230-7360",
            "fax_number": "559-897-5266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 DOCKERY AVE",
            "city": "SELMA",
            "state": "CA",
            "postal_code": "936629332",
            "telephone_number": "559-230-7360",
            "fax_number": "559-897-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADEVOSYAN",
        "first_name": "NVER",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2011-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "CA",
            "license": "D2737440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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.