Active NPI
Survivaltactics
Doing business as SurvivalTactics.Org
- Psychiatric/Mental Health Nurse Practitioner
- North Highlands, CA
National Provider Identifier
1588201545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- SURVIVALTACTICS
- Doing business as
- SurvivalTactics.Org
- Practice address
- 6136 34TH St
North Highlands, CA 95660-4208 - Phone
- (916) 334-9463
- NPI assigned
- Dec 9, 2019
- 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
- Rene W Reyna-Tobar
- Title
- President/Ceo
- Phone
- (916) 320-6810
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Community Health Registered Nurse | 163WC1500X | |||
| Public Health & General Preventive Medicine Physician | 2083P0901X | |||
| Community Health Nurse Practitioner | 363LC1500X | |||
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary | ||
| Primary Care Nurse Practitioner | 363LP2300X |
Addresses
Primary practice location
6136 34TH St
North Highlands, CA 95660-4208
Mailing address
5488 Gracen Way
Sacramento, CA 95835-2164
Phone (916) 320-6810
Other names 1
- SurvivalTactics.Org
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575849600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1575849600000",
"number": "1588201545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5488 GRACEN WAY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958352164",
"telephone_number": "916-320-6810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6136 34TH ST",
"city": "NORTH HIGHLANDS",
"state": "CA",
"postal_code": "956604208",
"telephone_number": "916-334-9463"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURVIVALTACTICS",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-09",
"last_updated": "2019-12-09",
"certification_date": "2019-12-09",
"status": "A",
"authorized_official_last_name": "REYNA-TOBAR",
"authorized_official_first_name": "RENE",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "916-320-6810"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WC1500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LC1500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SurvivalTactics.Org",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in North Highlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.