Humberto Matthew Talmadge, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95014716 Issued in CA

Practice address

3335 Harbor Moon CT
Vallejo, CA 94591-6331

Phone

(415) 902-0939

NPI assigned

Jun 15, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1639794639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3335 HARBOR MOON CT",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945916331",
            "telephone_number": "415-902-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3335 HARBOR MOON CT",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945916331",
            "telephone_number": "415-902-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALMADGE",
        "first_name": "HUMBERTO",
        "middle_name": "MATTHEW",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95014716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Vallejo",
            "affiliation": "N",
            "address_1": "3335 Harbor Moon Ct",
            "city": "Vallejo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945916331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nina Taggart
• Yonghua Tai, MD
• Jack Ryan Takahashi, MD
• Shelley Taketa, PHARM. D
• Jennifer A Talaro, PHARM D.
• Tatiana Tam, DO
• Jack Tan
• Nicholas Gan Tan, D.P.M.
• Peter B Tan, RPT
• Quincy CHI-Chian Tan, DDS

• Nurse Practitioner in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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.