Individual provider Active NPI

Prudence Torian

  • Case Manager/Care Coordinator
  • San Diego, CA
National Provider Identifier
1598166357
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
T02-713-216 Issued in KY
Practice address
1078 Dennery Rd
Apt 302
San Diego, CA 92154-8498
Phone
(270) 305-1652
NPI assigned
Sep 11, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X T02-713-216 KY Primary

Addresses

Primary practice location

1078 Dennery Rd
Apt 302
San Diego, CA 92154-8498

Mailing address

1078 Dennery Rd
Apt 302
San Diego, CA 92154-8498
Phone (270) 305-1652

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
T02-713-216KYMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410393600000",
    "number": "1598166357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1078 DENNERY RD",
            "address_2": "APT 302",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921548498",
            "telephone_number": "270-305-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1078 DENNERY RD",
            "address_2": "APT 302",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921548498",
            "telephone_number": "270-305-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORIAN",
        "first_name": "PRUDENCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-11",
        "last_updated": "2014-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "KY",
            "license": "T02-713-216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; 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.