Individual provider Active NPI

Tajunia Dorton

  • Case Manager/Care Coordinator
  • Santa Monica, CA
National Provider Identifier
1306145750
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
C10191214 Issued in CA
Practice address
1751 Cloverfield Blvd
Santa Monica, CA 90404-4007
Phone
(818) 671-7326
NPI assigned
Mar 24, 2011
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X C10191214 CA Primary

Addresses

Primary practice location

1751 Cloverfield Blvd
Santa Monica, CA 90404-4007

Mailing address

1751 Cloverfield Blvd
Santa Monica, CA 90404-4007
Phone (818) 671-7326

Other practice location 1

18417 Nordhoff St Ste D
Northridge, CA 91325-2276
Phone (818) 734-2761

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
C10191214CAMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1306145750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 CLOVERFIELD BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904044007",
            "telephone_number": "818-671-7326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 CLOVERFIELD BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904044007",
            "telephone_number": "818-671-7326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18417 Nordhoff St Ste D",
            "address_purpose": "LOCATION",
            "city": "Northridge",
            "state": "CA",
            "postal_code": "913252276",
            "country_code": "US",
            "telephone_number": "818-734-2761",
            "fax_number": "818-734-2762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORTON",
        "first_name": "TAJUNIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "C10191214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.