Test-Med Vaccination Services Medical Corp

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

G86894 Issued in CA

Legal business name

TEST-MED VACCINATION SERVICES MEDICAL CORP

Practice address

140 E Santa Fe Ave
Fullerton, CA 92832-1916

Phone

(415) 595-6734

Fax

(714) 526-3110

NPI assigned

Jun 4, 2007

Organization subpart

No

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

Authorized official

Name

Jeffrey Marcus Wilmoth

Title

Secretary

Phone

(415) 595-6734

Specialties & licenses 1

Addresses

Locations

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pamela Kay Emminger, RPH

  • Pharmacist
  • Kittanning, PA
  • NPI 1225514029
  NPD (past)

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237766400000",
    "number": "1760684526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1039",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928361039",
            "telephone_number": "415-595-6734",
            "fax_number": "714-526-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 E SANTA FE AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321916",
            "telephone_number": "415-595-6734",
            "fax_number": "714-526-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEST-MED VACCINATION SERVICES MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2009-03-23",
        "status": "A",
        "authorized_official_last_name": "WILMOTH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "MARCUS",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "415-595-6734"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "G86894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cari Ann Teran, M.S.
• Cristina Terriquez
• Clifford M Terry, M.D.
• Maranda Terry, DPT
• Saba Tesfay
• Joel Tetzlaff, PA
• Lucy Thach
• Brandon Guang Huang Thai
• Kelly Thai, PHARMD
• Kimberly Thai

• Health Service Clinic/Center in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.

Verify at the official NPI Registry.