Individual provider Active NPI

Tammy Lee Sarabia

  • Addiction (Substance Use Disorder) Counselor
  • Glendora, CA
National Provider Identifier
1639585565
Registry record updated Jul 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
5595/RW Issued in CA
Practice address
355 N Vista Bonita Ave
Glendora, CA 91741-2656
Phone
(909) 809-2957
NPI assigned
Jul 11, 2014
Last updated
Jul 18, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 5595/RW CA Primary

Addresses

Primary practice location

355 N Vista Bonita Ave
Glendora, CA 91741-2656

Mailing address

355 N Vista Bonita Ave
Glendora, CA 91741-2656

Other identifiers 1

IdentifierTypeStateIssuer
5595OtherCACAADAC

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
5595/RWCAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405641600000",
    "number": "1639585565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 N VISTA BONITA AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917412656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 N VISTA BONITA AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917412656",
            "telephone_number": "909-809-2957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARABIA",
        "first_name": "TAMMY",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-11",
        "last_updated": "2014-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "5595/RW",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAADAC",
            "identifier": "5595",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.