Active NPI
Tesla Medical Corp
- Diagnostic Radiology Physician
- Hanford, CA
National Provider Identifier
1447308515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- TESLA MEDICAL CORP
- Practice address
- 171 Masionette Dr
Hanford, CA 93230 - Phone
- (559) 783-1181
- Fax
- (559) 783-2084
- NPI assigned
- Jan 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rita Nye
- Title
- Billing Super
- Phone
- (559) 783-1181
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
171 Masionette Dr
Hanford, CA 93230
Mailing address
171 Masionette Dr
Hanford, CA 93230
Phone (559) 783-1181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G721502 | Medicaid | CA |
Other names 1
- MARIO DEGUCHI MD
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226361600000",
"number": "1447308515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 MASIONETTE DR",
"city": "HANFORD",
"state": "CA",
"postal_code": "93230",
"telephone_number": "559-783-1181",
"fax_number": "559-783-2084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 MASIONETTE DR",
"city": "HANFORD",
"state": "CA",
"postal_code": "93230",
"telephone_number": "559-783-1181",
"fax_number": "559-783-2084"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TESLA MEDICAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-08",
"last_updated": "2008-11-11",
"status": "A",
"authorized_official_last_name": "NYE",
"authorized_official_first_name": "RITA",
"authorized_official_title_or_position": "BILLING SUPER",
"authorized_official_telephone_number": "559-783-1181"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G721502",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MARIO DEGUCHI MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Hanford, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.