George Walton Tay Jr., RADT-1

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1291540218 Issued in CA

Practice address

1660 Chicago Ave
Riverside, CA 92507-2068

Phone

(951) 823-0540

NPI assigned

Apr 27, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1619465317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 CHICAGO AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925072068",
            "telephone_number": "951-823-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 CHICAGO AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925072068",
            "telephone_number": "951-823-0540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11612 Belmonte Rd.",
            "address_purpose": "LOCATION",
            "city": "Fontana",
            "state": "CA",
            "postal_code": "92337",
            "country_code": "US",
            "telephone_number": "909-714-4777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAY",
        "first_name": "GEORGE",
        "middle_name": "WALTON",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RADT-1",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-27",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1291540218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arya Tavakoulnia, MD
• Gita Tavassoli, M.D
• Douglas Horacio Tavira
• Dahlia Tawfik-Sexton, MD
• Valentino Jesus Tawney
• Aaliyah Taylor
• Brittany Dwan Taylor
• Courtney Taylor
• Dana Taylor
• De Jeanne Taylor

• Addiction (Substance Use Disorder) Counselor in Riverside, CA
• Providers in Riverside, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.