Individual provider Active NPI

Tiffany Dawn Zureik

  • Substance Abuse Rehabilitation Facility
  • San Jose, CA
National Provider Identifier
1447798095
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Practice address
9500 Malech Road
San Jose, CA 95138
Phone
(408) 281-6555
NPI assigned
Feb 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X CA Primary

Addresses

Primary practice location

9500 Malech Road
San Jose, CA 95138

Mailing address

88 N Jackson Ave Unit 219
San Jose, CA 95116-3471
Phone (408) 466-8814

Other names 1

  • Mrs. Tiffany Dawn Rogers Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1447798095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 N JACKSON AVE UNIT 219",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951163471",
            "telephone_number": "408-466-8814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 MALECH ROAD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95138",
            "telephone_number": "408-281-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUREIK",
        "first_name": "TIFFANY",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-03",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "ROGERS",
            "middle_name": "DAWN",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.