Active NPI
Bolormaa Tserendejid
- Driver
- Sacramento, CA
National Provider Identifier
1700114485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- Practice address
- 35 Gazania CT
Sacramento, CA 95835-1774 - Phone
- (916) 642-6096
- Fax
- (916) 285-6286
- NPI assigned
- Nov 18, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | CA | Primary |
Addresses
Primary practice location
35 Gazania CT
Sacramento, CA 95835-1774
Mailing address
35 Gazania CT
Sacramento, CA 95835-1774
Phone (916) 642-6096
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258502400000",
"number": "1700114485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 GAZANIA CT",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958351774",
"telephone_number": "916-642-6096",
"fax_number": "916-285-6286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 GAZANIA CT",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958351774",
"telephone_number": "916-642-6096",
"fax_number": "916-285-6286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSERENDEJID",
"first_name": "BOLORMAA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-18",
"last_updated": "2009-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.