Tandy Luv Corrales

Primary specialty

DriverTaxonomy code 172A00000X

Practice address

17096 Sequoia St Ste 116
Hesperia, CA 92345-1411

Phone

(760) 985-7765

Fax

(760) 888-3575

NPI assigned

Sep 28, 2022

Last updated

Sep 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healthcare-Transport Inc.

  • Driver
  • Victorville, CA
  • NPI 1699690966
  Authorized official Same address or phone

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1487378907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16808 MAIN STREET SUITE D BOX 345",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "92345",
            "telephone_number": "760-221-2421",
            "fax_number": "760-888-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17096 SEQUOIA ST STE 116",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923451411",
            "telephone_number": "760-985-7765",
            "fax_number": "760-888-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRALES",
        "first_name": "TANDY",
        "middle_name": "LUV",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@healthcare-transport.com",
            "affiliation": "N",
            "address_1": "17096 Sequoia St Ste 116",
            "city": "Hesperia",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923451411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Colleen Theresa Cooley I, PHARM.D.
• Wanda Michelle Cooper
• Horace William Corey Jr.
• Elizabeth D Cornejo
• Cornerstone Caregiving West LLC
• Liliana Costa
• Marissa Juiliana Cota
• Melody Countryman
• County of San Bernardino (Main Street Hesperia Center)
• County of San Bernardino

• Driver in Hesperia, CA
• Providers in Hesperia, CA by specialty
• Driver in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.

Verify at the official NPI Registry.