Active NPI
Thomas Talavera Embry, PATIENT CARE TECH
- Driver
- Hayward, CA
National Provider Identifier
1922214857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- C3382190
- Practice address
- 27433 Capri Ave
Hayward, CA 94545-4001 - Phone
- (510) 487-2891
- Fax
- (510) 487-2891
- NPI assigned
- May 15, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Driver | 172A00000X | C3382190 | CA | Primary |
Addresses
Primary practice location
27433 Capri Ave
Hayward, CA 94545-4001
Mailing address
27433 Capri Ave
Hayward, CA 94545-4001
Phone (510) 487-2891
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MTN00905F | Other | CA | MEDI-CAL PROVIDER'S NUMBE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C3382190 | CA | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922214857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27433 CAPRI AVE",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945454001",
"telephone_number": "510-487-2891",
"fax_number": "510-487-2891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27433 CAPRI AVE",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945454001",
"telephone_number": "510-487-2891",
"fax_number": "510-487-2891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMBRY",
"first_name": "THOMAS",
"middle_name": "TALAVERA",
"credential": "PATIENT CARE TECH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "CA",
"license": "C3382190",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL PROVIDER'S NUMBE",
"identifier": "MTN00905F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.