Ismael D Tactay Jr., RRT

Primary specialty

Registered Respiratory TherapistTaxonomy code 227900000X

License

22441 Issued in CA

Practice address

4647 Zion Avenue
Respiratory Care 4TH Floor
San Diego, CA 92120

Phone

(619) 528-7471

Fax

(619) 528-3201

NPI assigned

Jul 27, 2018

Last updated

Jul 27, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532649600000",
    "number": "1639656028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4647 ZION AVENUE",
            "address_2": "RESPIRATORY CARE 4TH FLOOR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92120",
            "telephone_number": "619-528-7471",
            "fax_number": "619-528-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4647 ZION AVENUE",
            "address_2": "RESPIRATORY CARE 4TH FLOOR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92120",
            "telephone_number": "619-528-7471",
            "fax_number": "619-528-3201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9455 Clairemont Mesa Blvd",
            "address_2": "Respiratory Care Services 4th Floor",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "92123",
            "country_code": "US",
            "telephone_number": "619-266-4209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TACTAY",
        "first_name": "ISMAEL",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RRT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "CA",
            "license": "22441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desiree Tachiki Lopez
• Iliana Tachin-Rodriguez
• Eugene Tachuk, M.D.
• Edward Aaron Tackett
• Freddie Tackett
• Tactical Rehabilitation, Inc.
• Enneman Irene Tad-Awan, NP
• Faye K Tada, D.D.S.
• Kim M Taddie, NP
• Michael Adam Taddonio, MD

• Registered Respiratory Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Registered Respiratory Therapist in California

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