Individual provider Active NPI

Elizabeth Ida Tamburrini

  • Student in an Organized Health Care Education/Training Program
  • San Carlos, CA
National Provider Identifier
1528548252
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
335 Quarry Rd
San Carlos, CA 94070-6217
Phone
(650) 346-4114
NPI assigned
Aug 21, 2018
Last updated
Sep 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Student in an Organized Health Care Education/Training Program 390200000X NU Primary

Addresses

Primary practice location

335 Quarry Rd
San Carlos, CA 94070-6217

Mailing address

335 Quarry Rd
San Carlos, CA 94070-6217
Phone (650) 346-4114

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1528548252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 QUARRY RD",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940706217",
            "telephone_number": "650-346-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 QUARRY RD",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940706217",
            "telephone_number": "650-346-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMBURRINI",
        "first_name": "ELIZABETH",
        "middle_name": "IDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Carlos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; 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.