Eugenia San Luis Tabernero, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

344918 Issued in CA

Practice address

1 Eagle Rd BLDG 1
Alameda, CA 94501-5100

Phone

(510) 437-3582

Fax

(510) 437-3611

NPI assigned

Jun 27, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jenny Tabernero Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coast Guard Headquarters

  • Health Service Clinic/Center
  • Alameda, CA
  • NPI 1487860656
  NPD (past)

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214524800000",
    "number": "1780846089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EAGLE RD BLDG 1",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945015100",
            "telephone_number": "510-437-3582",
            "fax_number": "510-437-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EAGLE RD BLDG 1",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945015100",
            "telephone_number": "510-437-3582",
            "fax_number": "510-437-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABERNERO",
        "first_name": "EUGENIA",
        "middle_name": "SAN LUIS",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "344918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNY",
            "last_name": "TABERNERO",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Neil Jason Sweet
• Jonah Bryant Swensen
• Mariah Swoboda
• Synergy Health Services, Inc.
• Martonie Tabal
• Richard Hugh Tabor Jr., DDS
• Sukritha Tadepalli I
• Robert Mercado Tal, DDS
• Sean Tal, DDS
• Allison Talamante

• Registered Nurse in Alameda, CA
• Providers in Alameda, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.