Active NPI
David T. Tenn, M.D.
- Family Medicine Physician
- Visalia, CA
National Provider Identifier
1730211301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G52045
- Practice address
- 235 E Noble Ave
Visalia, CA 93277-2858 - Phone
- (559) 625-1710
- Fax
- (559) 625-1690
- NPI assigned
- Mar 9, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G52045 | CA | Primary |
Addresses
Primary practice location
235 E Noble Ave
Visalia, CA 93277-2858
Mailing address
1618 S Jacques CT
Visalia, CA 93277-0819
Phone (559) 738-9318
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G52045 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730211301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1618 S JACQUES CT",
"city": "VISALIA",
"state": "CA",
"postal_code": "932770819",
"telephone_number": "559-738-9318",
"fax_number": "559-625-1690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 E NOBLE AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932772858",
"telephone_number": "559-625-1710",
"fax_number": "559-625-1690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TENN",
"first_name": "DAVID",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G52045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.