Active NPI
Tami Le Murillo, RN
- Child & Adolescent Psychiatric/Mental Health Registered Nurse
- Riverside, CA
National Provider Identifier
1427575778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Registered Nurse
- License
- 95037729
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95037729 | Other | CA | CALIFORNIA 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
| License | State | Type | Specialty |
|---|---|---|---|
| 95037729 | CA | MD | Nurse 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.