Active NPI
Debra Jean Tao, PHARM.D.
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1467554154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH 41343
- Practice address
- 351 E Temple St
Dept 119- Pharmacy
Los Angeles, CA 90012-3328 - Phone
- (213) 253-2677
- Fax
- (213) 253-5019
- NPI assigned
- Sep 2, 2006
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH 41343 | CA | Primary |
Addresses
Primary practice location
351 E Temple St
Dept 119- Pharmacy
Los Angeles, CA 90012-3328
Mailing address
91 Strawberry LN
Rolling Hills Estates, CA 90274-4111
Phone (310) 541-9174
Other names 1
- Dr. Debra Jean Fong
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH 41343 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467554154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 STRAWBERRY LN",
"city": "ROLLING HILLS ESTATES",
"state": "CA",
"postal_code": "902744111",
"telephone_number": "310-541-9174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 E TEMPLE ST",
"address_2": "DEPT 119- PHARMACY",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900123328",
"telephone_number": "213-253-2677",
"fax_number": "213-253-5019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAO",
"first_name": "DEBRA",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH 41343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEBRA",
"last_name": "FONG",
"middle_name": "JEAN",
"prefix": "DR.",
"credential": "PHARM.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.