Organization Active NPI

Latazt LLC

  • Private Vehicle
  • Petaluma, CA
National Provider Identifier
1881306314
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
Legal business name
LATAZT LLC
Practice address
755 Baywood Dr FL 2
Petaluma, CA 94954-5510
Phone
(800) 483-8926
NPI assigned
Dec 15, 2022
Last updated
Dec 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Authorized official

Name
Yasmine Moreno
Title
Co-Owner
Phone
(707) 971-1160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X Primary

Addresses

Primary practice location

755 Baywood Dr FL 2
Petaluma, CA 94954-5510

Mailing address

755 Baywood Dr FL 2
Petaluma, CA 94954-5510
Phone (800) 483-8926

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1671062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671062400000",
    "number": "1881306314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 BAYWOOD DR FL 2",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949545510",
            "telephone_number": "800-483-8926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 BAYWOOD DR FL 2",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949545510",
            "telephone_number": "800-483-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATAZT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-15",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "YASMINE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "707-971-1160"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.