Susana J Tamayo

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

3190 David St
Riverside, CA 92506-4250

Phone

(714) 272-1601

NPI assigned

May 2, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1801385026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3190 DAVID ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064250",
            "telephone_number": "714-272-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 DAVID ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064250",
            "telephone_number": "714-272-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMAYO",
        "first_name": "SUSANA",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": "103K00000X",
            "primary": false
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Tam
• Carolyn Sager Tamayo, M.A., CCC-SLP
• Joshua Jacob Tamayo
• Paulina Tamayo
• Robert Tamayo
• Victor Tamayo
• Candice Tamimi
• Faraaz Tamjidi, DO
• Janice Rae Tamkin, LCSW
• Amy Melissa Tan, PHARMD

• Other Technician in Riverside, CA
• Providers in Riverside, CA by specialty
• Other Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; 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.