Paul Tatum, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95167055 Issued in CA

Practice address

1000A Emeline Ave
Santa Cruz, CA 95060-1900

Phone

(831) 425-0112

NPI assigned

Mar 29, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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

• Janus of Santa Cruz

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Santa Cruz, CA
  • NPI 1467608745
  NPD (past)
• Janus of Santa Cruz

  • Methadone Clinic
  • Santa Cruz, CA
  • NPI 1730213794
  NPD (past)

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1821559923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000A EMELINE AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950601900",
            "telephone_number": "831-425-0112",
            "fax_number": "831-425-1847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000A EMELINE AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950601900",
            "telephone_number": "831-425-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATUM",
        "first_name": "PAUL",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95167055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Tat
• Williamray Tatlonghari, PA-C
• Colin Tato
• Julie Ann Tatowicz, LCSW
• Katrina Tattenham, MSW
• Jayme Ann Tauzer
• Rasa Tavangar
• Minerva A Tavarez
• Patricia Ann Tawzer
• Angela Taylor

• Registered Nurse in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.