Amber Ashley P Tacderan

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95230119 Issued in CA

Practice address

815 S Willow Ave
Rialto, CA 92376-6934

Phone

(909) 820-8150

NPI assigned

Jun 6, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1992547434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16254 LOZANO ST UNIT 3",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923366315",
            "telephone_number": "909-275-4618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 S WILLOW AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923766934",
            "telephone_number": "909-820-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACDERAN",
        "first_name": "AMBER ASHLEY",
        "middle_name": "P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95230119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Metta Surya, DDS
• Susan Elizabeth Sawyer
• Millicent Rene Sutphen
• Michael James Sweitzer, LCSW
• Brianna Marie Symes
• Michelle Talamantez
• Alyssa Tamura
• Julie Tang
• Olga L Tapia, LCSW
• Taran Kaur Reynolds DDS Inc

• Registered Nurse in Rialto, CA
• Providers in Rialto, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.