Individual provider Active NPI

Teresa Kasiarz, HIS

  • Specialist
  • Woodland, CA
National Provider Identifier
1568680684
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
HA4118 Issued in CA
Practice address
1264 E Gibson Rd Ste F600
Woodland, CA 95776-6319
Phone
(530) 661-3080
Fax
(530) 661-3383
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X HA4118 CA Primary

Addresses

Primary practice location

1264 E Gibson Rd Ste F600
Woodland, CA 95776-6319

Mailing address

1264 E Gibson Rd Ste F600
Woodland, CA 95776-6319
Phone (530) 661-3080

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

State licenses

LicenseStateTypeSpecialty
HA4118CAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568680684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1264 E GIBSON RD STE F600",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "957766319",
            "telephone_number": "530-661-3080",
            "fax_number": "530-661-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 E GIBSON RD STE F600",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "957766319",
            "telephone_number": "530-661-3080",
            "fax_number": "530-661-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASIARZ",
        "first_name": "TERESA",
        "name_prefix": "Mrs.",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "HA4118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.