Active NPI
Claire Eileen Tarantino, M.D.
- Pediatrics Physician
- Nipomo, CA
National Provider Identifier
1629096235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A94655
- Practice address
- 150 Tejas PL
Nipomo, CA 93444-9123 - Phone
- (805) 938-0935
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A94655 | CA | Primary |
Addresses
Primary practice location
150 Tejas PL
Nipomo, CA 93444-9123
Mailing address
150 Tejas PL
Nipomo, CA 93444-9123
Phone (805) 938-0935
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A94655 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301270400000",
"number": "1629096235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 TEJAS PL",
"city": "NIPOMO",
"state": "CA",
"postal_code": "934449123",
"telephone_number": "805-938-0935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 TEJAS PL",
"city": "NIPOMO",
"state": "CA",
"postal_code": "934449123",
"telephone_number": "805-938-0935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARANTINO",
"first_name": "CLAIRE",
"middle_name": "EILEEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2011-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A94655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nipomo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.