Tami Judson

Individual provider Active NPI Peer Specialist · Citrus HTS, CA

NPI 1760928824 · NPPES record last updated Sep 5, 2025

Key facts

NPI
1760928824
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
Practice address
6060 Sunrise Vista Dr Ste 2100
Citrus HTS, CA 95610-7068
Phone
(916) 870-2621
NPI assigned
Jan 13, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X Yes

Addresses

Primary practice location

6060 Sunrise Vista Dr Ste 2100
Citrus HTS, CA 95610-7068

Mailing address

7806 Uplands Way Suite a
Citrus HTS, CA 95610
Phone (916) 870-2621

Other identifiers

IdentifierTypeStateIssuer
171M00000XMedicaidCA

Other providers in Citrus HTS, CA

All providers in Citrus HTS, CA · Peer Specialist in California

Sources for this page

Verify at the official NPI Registry.