CURTIS TAGUE


Address: 118 E Airport Dr, Ste 201, San Bernardino, CA 92408-3472
Phone: 9098902532

CURTIS TAGUE (NPI# 1376640482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376640482
Entity Type Individual
Full Name CURTIS TAGUE
Practice Address 118 E Airport Dr
Ste 201
San Bernardino
CA 92408-3472
Mailing Address Po Box 7630
Laguna Niguel
CA 92607-7630
Practice Telephone 9098902532
Enumeration Date 2006-09-20
Last Update Date 2009-03-31
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 246Q00000X Spec/Tech, Pathology CA Technologists, Technicians & Other Technical Service Providers
Y 246QM0706X Spec/Tech, Pathology
Specialization: Medical Technologist
CA Technologists, Technicians & Other Technical Service Providers
N 246R00000X Technician, Pathology CA Technologists, Technicians & Other Technical Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA BLUE CROSS/BLUE SHIELD ZZZ67434Z 01
CA ZZZ24690Z 05

Office Location

Street Address 118 E AIRPORT DR
STE 201
City SAN BERNARDINO
State CA
Zip Code 92408-3472

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1548730419 Adriana Alcaraz Behavior Technician 473 E Carnegie, Ste 200, San Bernardino, CA 92408 2018-12-04
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Taxonomy Information

Taxonomy Code 246QM0706X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Spec/Tech, Pathology
Specialization Medical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1356965016 Michael Bask Spec/Tech, Pathology 2250 Alcazar St Ste 109m, Los Angeles, CA 90089-1010 2020-05-29
1114323748 Li Lin Spec/Tech, Pathology 1422 Washo Dr, Fremont, CA 94539-6659 2014-11-10
1396165288 Jefferson Uy Spec/Tech, Pathology 547 Edinburgh St, San Francisco, CA 94112-2821 2014-04-18
1669803292 Jimmy Chov Spec/Tech, Pathology 13033 Vista Abajo Way, Victorville, CA 92394-3709 2013-12-08
1134553993 Alice Farrior Spec/Tech, Pathology 2238 Rosemount Ln, San Ramon, CA 94582-5719 2013-08-29
1346584182 Hillary Jane Rayo Spec/Tech, Pathology 34 Apogee Cir, San Pedro, CA 90732-4460 2012-11-16
1275806895 Christopher John Flores Spec/Tech, Pathology 10922 Veach St, Loma Linda, CA 92354-6527 2012-02-13
1003121229 Ching Hua Cheng Spec/Tech, Pathology 111 Montebello Ave # B112, Mountain View, CA 94043-4393 2010-08-12
1174768790 Joel Yao Sun Spec/Tech, Pathology 2624 Foothill Blvd, 208, Oakland, CA 94601-1769 2008-12-11
1528211257 Lanay Cohen Spec/Tech, Pathology 15112 Providence Ln, North Hills, CA 91343-3464 2008-10-26
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Competitor

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City SAN BERNARDINO
Zip Code 92408

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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