Dr Ruth Tanyi, Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

15272 Issued in CA

Legal business name

DR RUTH TANYI, INC

Practice address

577 N D St Ste 101
San Bernardino, CA 92401-1326

Phone

(909) 386-1500

Fax

(909) 386-1588

NPI assigned

Nov 15, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ruth A Tanyi, NP, DRPHNPI 1053463612

Title

Ceo

Phone

(909) 386-1500

Specialties & licenses 1

Addresses

Other names 1

• Preventive Care and Wellness Services Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ruth Ayukonsoh Tanyi, RN, MSN, NP-C

  • Family Nurse Practitioner
  • San Bernardino, CA
  • NPI 1053463612
  Medicare reassignment NPD Authorized official
• Nayiri Zetlian Ketchedjian, NP-C

  • Family Nurse Practitioner
  • Los Angeles, CA
  • NPI 1316256548
  NPD (past)

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1982905410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 N D ST STE 101",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011326",
            "telephone_number": "909-386-1500",
            "fax_number": "909-386-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 N D ST STE 101",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011326",
            "telephone_number": "909-386-1500",
            "fax_number": "909-386-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR RUTH TANYI, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-15",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "TANYI",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-386-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NP,  DRPH"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "15272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preventive Care and Wellness Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Nurse Practitioner in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.