Active NPI
Tina Ann Cardenas, RN
- Registered Nurse
- Ukiah, CA
National Provider Identifier
1811340557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 799444
- Practice address
- 350 E Gobbi St
Ukiah, CA 95482-5511 - Phone
- (707) 472-0350
- Fax
- (707) 472-0358
- NPI assigned
- Jul 18, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 799444 | CA | Primary |
Addresses
Primary practice location
350 E Gobbi St
Ukiah, CA 95482-5511
Mailing address
376 E Gobbi St
Suite B
Ukiah, CA 95482-5511
Phone (707) 472-0350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 799444 | Other | CA | CALIFORNIA BOARD OF REGISTERED NURSING |
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)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 799444 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468800000000",
"number": "1811340557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "376 E GOBBI ST",
"address_2": "SUITE B",
"city": "UKIAH",
"state": "CA",
"postal_code": "954825511",
"telephone_number": "707-472-0350",
"fax_number": "707-472-0358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 E GOBBI ST",
"city": "UKIAH",
"state": "CA",
"postal_code": "954825511",
"telephone_number": "707-472-0350",
"fax_number": "707-472-0358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDENAS",
"first_name": "TINA",
"middle_name": "ANN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-18",
"last_updated": "2016-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "799444",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA BOARD OF REGISTERED NURSING",
"identifier": "799444",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.