Tennille Renee Roberts, CAS

Primary specialty

Adult CompanionTaxonomy code 372600000X

License

03-061421 Issued in CA

Practice address

2101 Courage Dr
Fairfield, CA 94533-6717

Phone

(707) 784-2057

Fax

(707) 427-2981

NPI assigned

Mar 13, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tennille Renee De la Torre Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1699808378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 LEISURE TOWN RD",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956889413",
            "telephone_number": "707-249-1062",
            "fax_number": "707-453-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 COURAGE DR",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336717",
            "telephone_number": "707-784-2057",
            "fax_number": "707-427-2981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "TENNILLE",
        "middle_name": "RENEE",
        "credential": "CAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "CA",
            "license": "03-061421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAS",
            "identifier": "03-061421",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TENNILLE",
            "last_name": "DE LA TORRE",
            "middle_name": "RENEE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Seema Rizvi, DO
• Deann K Robbins
• Robert a. Varady M.D. Inc. a Professional Corporation
• Robert Anderson Dental Corp
• Natalia Marissa Roberts, FNP
• Desiree Robertson
• Ashley Robins, RAD-T
• Asia Robinson
• Doris Jean Robinson
• Kaela Robinson, ACSW

• Adult Companion in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Adult Companion in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.