Active NPI
Jeffrey T Tahauri
- Public Health or Welfare Agency
- Hesperia, CA
National Provider Identifier
1508101577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- License
- AT4227
- Legal business name
- JEFFREY T TAHAURI
- Practice address
- 10661 Orchid Ave.
Hesperia, CA 92345 - Phone
- (760) 885-3063
- NPI assigned
- Dec 3, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jeffrey Tahauri
- Title
- Pta
- Phone
- (760) 885-3063
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | AT4227 | CA | Primary |
Addresses
Primary practice location
10661 Orchid Ave.
Hesperia, CA 92345
Mailing address
10661 Orchid Ave.
Hesperia, CA 92345
National Provider Directory
National Provider Directory- Tax ID family
- Creative Health Solutions
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1354492800000",
"number": "1508101577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10661 ORCHID AVE.",
"city": "HESPERIA",
"state": "CA",
"postal_code": "92345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10661 ORCHID AVE.",
"city": "HESPERIA",
"state": "CA",
"postal_code": "92345",
"telephone_number": "760-885-3063"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY T TAHAURI",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-03",
"last_updated": "2012-12-03",
"status": "A",
"authorized_official_last_name": "TAHAURI",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "PTA",
"authorized_official_telephone_number": "760-885-3063",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "CA",
"license": "AT4227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hesperia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.