Organization Active NPI

Tesla Medical Corp

  • Diagnostic Radiology Physician
  • Hanford, CA
National Provider Identifier
1447308515
Registry record updated Nov 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
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

Updated by the provider on Nov 11, 2008

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)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00G721502MedicaidCA

Other names 1

  • MARIO DEGUCHI MD Other name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.