Active NPI
Lamin Tunkara, RN, WCC
- Wound Care Registered Nurse
- Merced, CA
National Provider Identifier
1780930669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Wound Care Registered Nurse
- License
- 824522
- Practice address
- 378 W Olive Ave
Suite a
Merced, CA 95348-3182 - Phone
- (209) 205-1103
- Fax
- (209) 723-2543
- NPI assigned
- Jul 30, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Wound Care Registered Nurse | 163WW0000X | 824522 | CA | Primary |
Addresses
Primary practice location
378 W Olive Ave
Suite a
Merced, CA 95348-3182
Mailing address
PO Box 3768
Merced, CA 95344-3768
Phone (209) 725-7149
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 824522 | CA | MD | Wound Care Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343606400000",
"number": "1780930669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3768",
"city": "MERCED",
"state": "CA",
"postal_code": "953443768",
"telephone_number": "209-725-7149",
"fax_number": "209-726-0134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "378 W OLIVE AVE",
"address_2": "SUITE A",
"city": "MERCED",
"state": "CA",
"postal_code": "953483182",
"telephone_number": "209-205-1103",
"fax_number": "209-723-2543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUNKARA",
"first_name": "LAMIN",
"credential": "RN, WCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-30",
"last_updated": "2012-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "163WW0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Wound Care",
"state": "CA",
"license": "824522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.