Active NPI
Tenzin Ngadon, FNP, BSN, RN
- Family Nurse Practitioner
- Los Banos, CA
National Provider Identifier
1912324757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95000252
- Practice address
- 821 Texas Ave
Los Banos, CA 93635-3453 - Phone
- (209) 826-1045
- Fax
- (209) 826-0952
- NPI assigned
- Mar 18, 2014
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95000252 | CA | Primary |
Addresses
Primary practice location
821 Texas Ave
Los Banos, CA 93635-3453
Mailing address
737 W Childs Ave
Credentialing Department
Merced, CA 95341-6805
Phone (209) 385-5481
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor on Science - Nursing, Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Contra Costa County | Current | Accepting new patients | |
| Contra Costa County | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Past | Accepting new patients |
Locations
2523 El Portal Dr
Ste 206
San Pablo, CA 94806
Phone (510) 215-3730
13601 San Pablo Ave
San Pablo, CA 94806
Phone (510) 231-9400
Organizations & group practices 3
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.
-
- Adult Mental Health Clinic/Center
- San Pablo, CA
- NPI 1376620336
-
- General Acute Care Hospital
- Martinez, CA
- NPI 1386719086
-
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395100800000",
"number": "1912324757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "737 W CHILDS AVE",
"address_2": "CREDENTIALING DEPARTMENT",
"city": "MERCED",
"state": "CA",
"postal_code": "953416805",
"telephone_number": "209-385-5481",
"fax_number": "209-383-1296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 TEXAS AVE",
"city": "LOS BANOS",
"state": "CA",
"postal_code": "936353453",
"telephone_number": "209-826-1045",
"fax_number": "209-826-0952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGADON",
"first_name": "TENZIN",
"credential": "FNP, BSN, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-18",
"last_updated": "2014-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95000252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Banos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.