Quintin Dean Tennant, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN158149 Issued in CA

Practice address

1312 Enchante Way
Oceanside, CA 92056-5672

Phone

(760) 390-3517

NPI assigned

Nov 24, 2007

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 24, 2007.

{
    "created_epoch": "1195862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195862400000",
    "number": "1497936082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 ENCHANTE WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920565672",
            "telephone_number": "760-390-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 ENCHANTE WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920565672",
            "telephone_number": "760-390-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENNANT",
        "first_name": "QUINTIN",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-24",
        "last_updated": "2007-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN158149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Team Physicians of Southern California Medical Group, Inc.
• Michael W Teel, CPO
• Roy Vincent Tejidor, PT
• Joshua M Telsey, DPT
• Briana Temblador
• Michelle Terazawa
• Fany Kimberly Tercero de Los Reyes
• Teri, Inc
• Theresa Lynn Terpstra, PHARM.D.
• George Michael Terris, PT, DPT

• All providers in Oceanside, CA
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.

Verify at the official NPI Registry.