Active NPI
Victor Tua'One
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Magna, UT
National Provider Identifier
1497034201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- License
- 7125665-3501
- Practice address
- 8265 W 2700 S
Magna, UT 84044-1323 - Phone
- (801) 250-9762
- Fax
- (801) 250-8483
- NPI assigned
- Aug 10, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | 7125665-3501 | UT | Primary |
Addresses
Primary practice location
8265 W 2700 S
Magna, UT 84044-1323
Mailing address
PO Box 69
Magna, UT 84044-0069
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7125665-3501 | UT | MD | Emotionally Disturbed Childrens' Residential Treatment Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Utah Mental Health Substance Abuse | Past | Accepting new patients | |
| Ut-Tex, Inc | Residential Treatment Facility, Emotionally Disturbed Children | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Ephraim, UT
- NPI 1982619326
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Magna, UT
- NPI 1063552305
Residential Treatment Facility, Emotionally Disturbed Children
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312934400000",
"number": "1497034201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 69",
"city": "MAGNA",
"state": "UT",
"postal_code": "840440069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8265 W 2700 S",
"city": "MAGNA",
"state": "UT",
"postal_code": "840441323",
"telephone_number": "801-250-9762",
"fax_number": "801-250-8483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUA'ONE",
"first_name": "VICTOR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-10",
"last_updated": "2011-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": "UT",
"license": "7125665-3501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Magna, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.