Active NPI
Daryl J Tenazas
- Non-emergency Medical Transport (VAN)
- North Highlands, CA
National Provider Identifier
1710033592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Practice address
- 6901 28TH St
North Highlands, CA 95660-2913 - Phone
- (916) 727-2547
- Fax
- (916) 745-4195
- NPI assigned
- Jan 26, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
6901 28TH St
North Highlands, CA 95660-2913
Mailing address
6901 28TH St
North Highlands, CA 95660-2913
Phone (916) 727-2547
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8799037 | Other | CA | NEMT |
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": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362614400000",
"number": "1710033592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6901 28TH ST",
"city": "NORTH HIGHLANDS",
"state": "CA",
"postal_code": "956602913",
"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": "6901 28TH ST",
"city": "NORTH HIGHLANDS",
"state": "CA",
"postal_code": "956602913",
"telephone_number": "916-727-2547",
"fax_number": "916-745-4195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TENAZAS",
"first_name": "DARYL",
"middle_name": "J",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-26",
"last_updated": "2013-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEMT",
"identifier": "8799037",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Highlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.