Individual provider Active NPI

Tunisia Ismalia Evans.Al-Salahuddin, DOCTORAL, MS, CHW

Public Health or Welfare Agency
Yuba City, CA

National Provider Identifier

1417664632

Registry record updated Nov 15, 2024

On this page

Key facts
NPPES NPI Registry
Medicare participation
National Provider Directory
NPI Registry JSON
Other providers in Yuba City, CA
Sources for this page

Key facts

NPPES NPI Registry

Primary specialty: Public Health or Welfare AgencyTaxonomy code 251K00000X
License: WALDENDOCOTORALPROGR Issued in CA
Practice address: 1341 Dustin Dr #15
Yuba City, CA 95993
Phone: (925) 325-1367
NPI assigned: Oct 28, 2022
Sex: Female
Sole proprietor: Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 15

Specialty (taxonomy)	Code	License	State	Primary
Psychologist	103T00000X	INPROCESS	CA
Case Manager/Care Coordinator	171M00000X	BS-HUMANSERVICES-UOP	CA
Counselor	101Y00000X	BS-HUMANSERVICES-UOP	CA
Community Health Worker	172V00000X	CDC-TRAIN-1895079	CA
Research Study Specialist	1744R1102X	WALDENDOCOTORALPROGR	MN
Health Educator	174H00000X	CDC-TRAIN-1895079	CA
Psychiatry Physician	2084P0800X	ALISON-INPROCESS	CA
Massage Therapist	225700000X	ACE-CEU0002837	CA
Health Information Technician	247000000X	MS-COLORADOSTATEUNIV	CA
Public Health or Welfare Agency	251K00000X	DOCTOR-EQUIV-180CEU	CA
Community/Behavioral Health Agency	251S00000X	CDC-TRAIN-1895079	CA
Technician	374700000X	R1477350822	CA
Nursing Home Administrator	376G00000X	MS-COLORADOSTATEUNI	CO
Student in an Organized Health Care Education/Training ProgramGroup: 193400000X SINGLE SPECIALTY GROUP	390200000X
Public Health or Welfare Agency	251K00000X	WALDENDOCOTORALPROGR	CA	Primary

Addresses

Primary practice location

1341 Dustin Dr #15
Yuba City, CA 95993

Mailing address

1341 Dustin Dr Apt 15
Yuba City, CA 95993-2724
Phone (925) 325-1367

Other names 1

Dr. Tunisa Ismalia Evans. Al-Salahuddin Former name

Electronic endpoints 2

Type	Endpoint	Use	Affiliation
Direct Messaging Address	tunisiaiea@mail.com	Health Information Exchange (HIE)
Direct Messaging Address	tunisiaiea@mail.com	Direct

Medicare participation

Medicare enrollment files

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Not enrolled
Credentials: Master of Science

State licenses

License	State	Type	Specialty
INPROCESS	CA	MD	General Practice Dentistry
BS-HUMANSERVICES-UOP	CA	MD	Case Manager/Care Coordinator
WALDENDOCOTORALPROGR	MN	MD	Research Study Specialist
CDC-TRAIN-1895079	CA	MD	Health Educator
ALISON-INPROCESS	CA	MD	Psychiatry Physician
ACE-CEU0002837	CA	MD	Massage Therapist
MS-COLORADOSTATEUNIV	CA	MD	Health Information Technician
DOCTOR-EQUIV-180CEU	CA	MD	Public Health or Welfare Agency
WALDENDOCOTORALPROGR	CA	MD	Public Health or Welfare Agency
R1477350822	CA	MD	Technician
MS-COLORADOSTATEUNI	CO	MD	Nursing Home Administrator

NPI Registry JSON

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

{
    "created_epoch": "1666915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1417664632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 DUSTIN DR APT 15",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959932724",
            "telephone_number": "925-325-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 DUSTIN DR #15",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "95993",
            "telephone_number": "925-325-1367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS.AL-SALAHUDDIN",
        "first_name": "TUNISIA",
        "middle_name": "ISMALIA",
        "name_prefix": "Dr.",
        "credential": "DOCTORAL, MS, CHW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-28",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "INPROCESS",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "BS-HUMANSERVICES-UOP",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "BS-HUMANSERVICES-UOP",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": "CDC-TRAIN-1895079",
            "primary": false
        },
        {
            "code": "1744R1102X",
            "taxonomy_group": "",
            "desc": "Specialist, Research Study",
            "state": "MN",
            "license": "WALDENDOCOTORALPROGR",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "CA",
            "license": "CDC-TRAIN-1895079",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "ALISON-INPROCESS",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "ACE-CEU0002837",
            "primary": false
        },
        {
            "code": "247000000X",
            "taxonomy_group": "",
            "desc": "Technician, Health Information",
            "state": "CA",
            "license": "MS-COLORADOSTATEUNIV",
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "CA",
            "license": "DOCTOR-EQUIV-180CEU",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "CDC-TRAIN-1895079",
            "primary": false
        },
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": "CA",
            "license": "R1477350822",
            "primary": false
        },
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "CO",
            "license": "MS-COLORADOSTATEUNI",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "CA",
            "license": "WALDENDOCOTORALPROGR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tunisiaiea@mail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1341 Dustin Dr",
            "address_2": "15",
            "city": "Yuba City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "95993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tunisiaiea@mail.com",
            "affiliation": "N",
            "endpointDescription": "email.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email/mail",
            "address_1": "P.O. BOX",
            "address_2": "255",
            "city": "Yuba Ciry",
            "state": "CA",
            "country_code": "US",
            "postal_code": "95992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TUNISA",
            "last_name": "EVANS. AL-SALAHUDDIN",
            "middle_name": "ISMALIA",
            "prefix": "DR.",
            "credential": "CPT1 AND RADI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yuba City, CA

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.