Organization Active NPI

Comp Legal Medical Group

  • Legal Medicine
  • Sutter Creek, CA
National Provider Identifier
1316471402
Registry record updated Apr 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
Legal business name
COMP LEGAL MEDICAL GROUP
Practice address
71 Bryson Dr
Sutter Creek, CA 95685-4115
Phone
(209) 560-3113
Fax
(866) 999-3744
NPI assigned
Apr 14, 2017
Last updated
Apr 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2017

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

Authorized official

Name
Tenieja Qynn Narcisse-Perkins
Title
Billing Manager/Owner
Phone
(209) 560-3113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X Primary

Addresses

Primary practice location

71 Bryson Dr
Sutter Creek, CA 95685-4115

Mailing address

PO Box 1885
Sutter Creek, CA 95685-1885
Phone (209) 560-3113

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492128000000",
    "number": "1316471402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1885",
            "city": "SUTTER CREEK",
            "state": "CA",
            "postal_code": "956851885",
            "telephone_number": "209-560-3113",
            "fax_number": "866-999-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 BRYSON DR",
            "city": "SUTTER CREEK",
            "state": "CA",
            "postal_code": "956854115",
            "telephone_number": "209-560-3113",
            "fax_number": "866-999-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMP LEGAL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-14",
        "last_updated": "2017-04-14",
        "status": "A",
        "authorized_official_last_name": "NARCISSE-PERKINS",
        "authorized_official_first_name": "TENIEJA",
        "authorized_official_middle_name": "QYNN",
        "authorized_official_title_or_position": "BILLING MANAGER/OWNER",
        "authorized_official_telephone_number": "209-560-3113"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sutter Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; 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.