Active NPI
Neander P. Tabingo, NP
- Family Nurse Practitioner
- Loma Linda, CA
National Provider Identifier
1508321563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95010324
- Practice address
- Loma Linda VA Medical Center 11201 Benton St
Loma Linda, CA 92357-0001 - Phone
- (909) 825-7084
- NPI assigned
- Feb 4, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95010324 | CA | Primary |
Addresses
Primary practice location
Loma Linda VA Medical Center 11201 Benton St
Loma Linda, CA 92357-0001
Mailing address
426 W Olive Ave Apt 6
Redlands, CA 92373-5197
Phone (909) 360-3658
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)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95010324 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549238400000",
"number": "1508321563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "426 W OLIVE AVE APT 6",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923735197",
"telephone_number": "909-360-3658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LOMA LINDA VA MEDICAL CENTER 11201 BENTON ST",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923570001",
"telephone_number": "909-825-7084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TABINGO",
"first_name": "NEANDER",
"middle_name": "P.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-04",
"last_updated": "2019-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95010324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.