Organization Active NPI

Jeffrey T Tahauri

  • Public Health or Welfare Agency
  • Hesperia, CA
National Provider Identifier
1508101577
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
AT4227 Issued in CA
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

Updated by the provider on Dec 3, 2012

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)CodeLicenseStatePrimary
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 Solutions9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.