Active NPI
Peter Tapia
- Basic Emergency Medical Technician
- Santa Rosa, CA
National Provider Identifier
1306207717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- License
- E041865
- Practice address
- 3295 Moorland Ave
Santa Rosa, CA 95407-7841 - Phone
- (415) 722-8876
- Fax
- (707) 528-3007
- NPI assigned
- Mar 11, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | E041865 | CA | Primary |
Addresses
Primary practice location
3295 Moorland Ave
Santa Rosa, CA 95407-7841
Mailing address
PO Box 833
Penngrove, CA 94951-0833
Phone (415) 722-8876
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
| License | State | Type | Specialty |
|---|---|---|---|
| E041865 | CA | MD | Basic Emergency Medical Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457654400000",
"number": "1306207717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 833",
"city": "PENNGROVE",
"state": "CA",
"postal_code": "949510833",
"telephone_number": "415-722-8876",
"fax_number": "707-528-3007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3295 MOORLAND AVE",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954077841",
"telephone_number": "415-722-8876",
"fax_number": "707-528-3007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAPIA",
"first_name": "PETER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-11",
"last_updated": "2016-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "CA",
"license": "E041865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.