Tito Andres Tanguilig, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME72447 Issued in FL

Practice address

5342 Dudley Blvd
McClellan, CA 95652-1012

Phone

(916) 561-7400

NPI assigned

Apr 5, 2006

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

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443830400000",
    "number": "1679535579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5342 DUDLEY BLVD",
            "city": "MCCLELLAN",
            "state": "CA",
            "postal_code": "956521012",
            "telephone_number": "916-561-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5342 DUDLEY BLVD",
            "city": "MCCLELLAN",
            "state": "CA",
            "postal_code": "956521012",
            "telephone_number": "916-561-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANGUILIG",
        "first_name": "TITO",
        "middle_name": "ANDRES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2015-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME72447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miguel Alejandro Suarez Aguilar
• Denise Swisher, MSW, CADI
• Dominique Talley
• Raymund Garcia Tanco, RPT
• Kaihoo Tang, PA-C
• Nyasha Taruvinga
• The Janz Corporation
• Bradrick A Thurman
• Zsnai Thurman
• Mackenzie Lee Timmins, SLP

• Internal Medicine Physician in McClellan, CA
• Providers in McClellan, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2015; 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.