1568819050 NPI number — DR. JAMES FLORENCIO DEC TAMESIS M.D.

Table of content: DR. JAMES FLORENCIO DEC TAMESIS M.D. (NPI 1568819050)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568819050 NPI number — DR. JAMES FLORENCIO DEC TAMESIS M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TAMESIS
Provider First Name:
JAMES FLORENCIO
Provider Middle Name:
DEC
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1568819050
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/06/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2111 W SNEAD ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LA HABRA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90631-9509
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
562-640-2300
Provider Business Mailing Address Fax Number:
216-363-7490

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2050 BLUE OAKS BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROSEVILLE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95747-6506
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-910-2400
Provider Business Practice Location Address Fax Number:
916-910-2355
Provider Enumeration Date:
05/16/2016

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  A172259 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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