Organization Active NPI

Tbni

  • Speech-Language Pathologist
  • Brea, CA
National Provider Identifier
1790083749
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
TBNI
Doing business as
THERAPRISE
Practice address
3702 Roadrunner Dr
Brea, CA 92823-1002
Phone
(714) 989-6474
Fax
(714) 200-0234
NPI assigned
Feb 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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

Authorized official

Name
Leonardo Enrique Di Giacomo
Title
Cfo
Phone
(714) 989-6474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

3702 Roadrunner Dr
Brea, CA 92823-1002

Mailing address

3702 Roadrunner Dr
Brea, CA 92823-1002
Phone (714) 989-6474

Other names 1

  • THERAPRISE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298851200000",
    "number": "1790083749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 ROADRUNNER DR",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928231002",
            "telephone_number": "714-989-6474",
            "fax_number": "714-200-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 ROADRUNNER DR",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928231002",
            "telephone_number": "714-989-6474",
            "fax_number": "714-200-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TBNI",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-28",
        "last_updated": "2011-02-28",
        "status": "A",
        "authorized_official_last_name": "DI GIACOMO",
        "authorized_official_first_name": "LEONARDO",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "714-989-6474"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THERAPRISE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brea, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; 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.