Individual provider Active NPI

Telana Mone Courseault

  • Assistant Health Information Record Technician
  • Moreno Valley, CA
National Provider Identifier
1306963392
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Health Information Record TechnicianTaxonomy code 2470A2800X
Practice address
23945 Sunnymead Blvd Ste 3
Moreno Valley, CA 92553-3025
Phone
(562) 200-4381
Fax
(951) 346-4117
NPI assigned
Mar 23, 2007
Last updated
Sep 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Health Information Record Technician 2470A2800X Primary

Addresses

Primary practice location

23945 Sunnymead Blvd Ste 3
Moreno Valley, CA 92553-3025

Mailing address

23314 Vida CT
Moreno Valley, CA 92553-3216
Phone (562) 612-8483

Other practice location 1

233 N. Quintana Dr.
Anaheim, CA 92807-4029
Phone (714) 395-0067

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

Practice roles

OrganizationSpecialtyStatusNew patients
Social Resources Connection Inc CurrentSince Sep 23, 2021 Accepting new patients
Social Resources Network, Inc. CurrentSince Sep 23, 2021 Accepting new patients
Social Resources Connection Inc Current Accepting new patients

Locations

23945 Sunnymead Blvd
Ste 3
Moreno Valley, CA 92553
Phone (562) 200-4381

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1306963392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23314 VIDA CT",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533216",
            "telephone_number": "562-612-8483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23945 SUNNYMEAD BLVD STE 3",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533025",
            "telephone_number": "562-200-4381",
            "fax_number": "951-346-4117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "233 N. Quintana Dr.",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928074029",
            "country_code": "US",
            "telephone_number": "714-395-0067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COURSEAULT",
        "first_name": "TELANA",
        "middle_name": "MONE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2470A2800X",
            "taxonomy_group": "",
            "desc": "Technician, Health Information, Assistant Record Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.