Tetra Pharmaceutical Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

TETRA PHARMACEUTICAL INC

Practice address

1611 Pomona Rd Ste 211
Corona, CA 92880-6924

Phone

(866) 398-5883

Fax

(866) 937-4944

NPI assigned

Sep 5, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Renee Jones

Title

Manager

Phone

(866) 398-5883

Specialties & licenses 1

Addresses

Other names 1

• Hunter Valley Memorial Hospital Doing business as

Locations

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504569600000",
    "number": "1356869895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32295 MISSION TRL # 8-312",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925302305",
            "telephone_number": "866-398-5883",
            "fax_number": "866-936-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 POMONA RD STE 211",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928806924",
            "telephone_number": "866-398-5883",
            "fax_number": "866-937-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TETRA PHARMACEUTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-05",
        "last_updated": "2017-09-05",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "866-398-5883",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hunter Valley Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Noel Preston Terrell, LMT, LVN
• Daisy Terriquez
• Terry Dust
• Cherise N Terry, RN, MSN, PNP
• Betelhem Teshome
• Karen Thai
• Tommy Thai
• Paul T Thanh, PA-C
• Tanya Tharani
• The Behavior Connection LLC

• Home Health Agency in Corona, CA
• Providers in Corona, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.