Tessa Rawson

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95023178 Issued in CA

Practice address

2650 Jones Way # 20
Simi Valley, CA 93065-1203

Phone

(805) 579-9999

NPI assigned

Nov 3, 2022

Last updated

Nov 3, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Henry Tang, D.O. Inc.

  • Specialist
  • Simi Valley, CA
  • NPI 1982841623
  Medicare reassignment NPD

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1801503347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1954 ARDENWOOD AVE",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930633911",
            "telephone_number": "818-438-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 JONES WAY # 20",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651203",
            "telephone_number": "805-579-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWSON",
        "first_name": "TESSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-11-03",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95023178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRN-NP",
            "identifier": "95023178",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ramya Ranganathan
• Roopa Rohini Rao-Karlamangla, M.D.
• Qurat-Ul-Ain Ahmed Rashid, MD
• Kelsi Marie Rau, RN, NP
• Hardik Mahesh Rawal
• Cynthia Amelia Ray, MPH, RD
• Deepa K Reddy, M.D.
• Muni Nanjunda Reddy, MD
• Shashi Kant Reddy, MD
• Nancy Lee Redgate, PT

• Nurse Practitioner in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.