James Markle Tatum, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

6368T Issued in CA

Practice address

10165 Foothill Blvd Ste 6
Rancho Cucamonga, CA 91730-0341

Phone

(909) 987-0728

Fax

(909) 987-0729

NPI assigned

Feb 27, 2007

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)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rancho Vision Center Optometry Inc

  • Optometrist
  • Rancho Cucamonga, CA
  • NPI 1588205298
  NPD

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376956800000",
    "number": "1649307828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10165 FOOTHILL BLVD STE 6",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300341",
            "telephone_number": "909-987-0728",
            "fax_number": "909-987-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10165 FOOTHILL BLVD STE 6",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300341",
            "telephone_number": "909-987-0728",
            "fax_number": "909-987-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATUM",
        "first_name": "JAMES",
        "middle_name": "MARKLE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2013-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6368T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Christy Tarascou
• Tarek Ezzeddine MD Inc
• Caleb Tarrabe
• Tandrea Nicole Tarver, MA, MFTI
• Dahshae Tate
• Alicia Taverner, LMFT
• Christine Tawil, PHYSICIAN ASSISTANT
• Victoria Tax
• Arlene Aretha Taylor Rose, MSN, PMHNP-BC, CCRN
• Ariana Taylor

• Optometrist in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.