Active NPI
Rebecca P Tenazas
- Non-emergency Medical Transport (VAN)
- Antelope, CA
National Provider Identifier
1689851685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- MTN00884F
- Practice address
- 4949 Dillon Cross Way
Antelope, CA 95843-5617 - Phone
- (916) 727-0403
- Fax
- (916) 727-1541
- NPI assigned
- Jan 22, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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.
-
- Non-emergency Medical Transport (VAN)
- Antelope, CA
- NPI 1154422368
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
| License | State | Type | Specialty |
|---|---|---|---|
| MTN00884F | CA | MD | Non-emergency Medical Transport (VAN) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Direct Line | Non-Emergency Medical Transport (Van) | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | MTN00884F | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4949 Dillon Cross Way
Antelope, CA 95843-5617
Mailing address
4949 Dillon Cross Way
Antelope, CA 95843-5617
Phone (916) 727-2547
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| MTN00884F | Medicaid | CA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 31, 2026.
{
"created_epoch": "1200960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1689851685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4949 DILLON CROSS WAY",
"city": "ANTELOPE",
"state": "CA",
"postal_code": "958435617",
"telephone_number": "916-727-2547",
"fax_number": "916-745-4195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4949 DILLON CROSS WAY",
"city": "ANTELOPE",
"state": "CA",
"postal_code": "958435617",
"telephone_number": "916-727-0403",
"fax_number": "916-727-1541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TENAZAS",
"first_name": "REBECCA",
"middle_name": "P",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-22",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "CA",
"license": "MTN00884F",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MTN00884F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Antelope, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.