Individual provider Active NPI

Tami Le Murillo, RN

  • Child & Adolescent Psychiatric/Mental Health Registered Nurse
  • Riverside, CA
National Provider Identifier
1427575778
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X
License
95037729 Issued in CA
Practice address
9890 County Farm Rd BLDG 2
Riverside, CA 92503-3505
Phone
(951) 509-2499
NPI assigned
Aug 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X 95037729 CA Primary

Addresses

Primary practice location

9890 County Farm Rd BLDG 2
Riverside, CA 92503-3505

Mailing address

9825 Magnolia Ave Ste B
Riverside, CA 92503-3565
Phone (951) 509-2499

Other practice location 1

4296 Menlo Ave
San Diego, CA 92115-4844
Phone (619) 490-8889

Other identifiers 1

IdentifierTypeStateIssuer
95037729OtherCACALIFORNIA NURSING BOARD

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
95037729CAMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1427575778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9825 MAGNOLIA AVE STE B",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033565",
            "telephone_number": "951-509-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9890 COUNTY FARM RD BLDG 2",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033505",
            "telephone_number": "951-509-2499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4296 Menlo Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921154844",
            "country_code": "US",
            "telephone_number": "619-490-8889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURILLO",
        "first_name": "TAMI",
        "middle_name": "LE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "CA",
            "license": "95037729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA NURSING BOARD",
            "identifier": "95037729",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.