Active NPI
Tejal Thakkar, MD
- Rheumatology Physician
- Orange, CA
National Provider Identifier
1902069438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- A95652
- Practice address
- 101 The City Dr S
Department of Rheumatology
Orange, CA 92868-3201 - Phone
- (714) 506-8373
- NPI assigned
- Jul 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | A95652 | CA | Primary |
Addresses
Primary practice location
101 The City Dr S
Department of Rheumatology
Orange, CA 92868-3201
Mailing address
PO Box 14481
Irvine, CA 92623-4481
Phone (714) 506-8373
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A95652 | CA | MD | Rheumatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252454400000",
"number": "1902069438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14481",
"city": "IRVINE",
"state": "CA",
"postal_code": "926234481",
"telephone_number": "714-506-8373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 THE CITY DR S",
"address_2": "DEPARTMENT OF RHEUMATOLOGY",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683201",
"telephone_number": "714-506-8373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAKKAR",
"first_name": "TEJAL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-03",
"last_updated": "2009-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "CA",
"license": "A95652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.