Pearon Tep

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

438 Rusty Dr
Santa Rosa, CA 95401-5766

Phone

(707) 477-7940

NPI assigned

Aug 9, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1346915667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 N DUTTON AVE STE 105",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954017121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 RUSTY DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954015766",
            "telephone_number": "707-477-7940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEP",
        "first_name": "PEARON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Templin, D.D.S.
• Maureen Elizabeth Templin, TCH
• Zachary Anthony Tendick
• Chih Yun Angelica Teng, MD
• Suzanne L. Tennyson
• Paul Tepper, RN
• Kari Kathleen Teran, M.D., M.P.H.
• Marianna J Terhune, CD, CMA, LS, CBE
• Maria Aldrina Zamora Territo, RD
• Miasha Natasha, Zola Terry

• Behavior Technician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.