CURTIS TAGUE (NPI# 1376640482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | BLUE CROSS/BLUE SHIELD | ZZZ67434Z | 01 |
CA | ZZZ24690Z | 05 |
Street Address |
118 E AIRPORT DR STE 201 |
City | SAN BERNARDINO |
State | CA |
Zip Code | 92408-3472 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073124681 | Valeria Armentilla Cecena | Student in an Organized Health Care Education/Training Program | 1950 Sunwest Ln., San Bernardino, CA 92408 | 2020-08-17 |
1588272066 | Horizon Therapy Services | Physical Therapist | 418 East Vanderbilt, San Bernardino, CA 92408 | 2020-07-21 |
1821627639 | Bl Anderson Medical Corporation | Emergency Medicine | 473 E Carnegie Dr., Ste 200, San Bernardino, CA 92408 | 2020-04-03 |
1922648104 | Infinite Hope Hospice Corp | Hospice Care, Community Based | 225 W Hospitality Ln Suite 305, San Bernardino, CA 92408 | 2020-01-15 |
1689210775 | Inland Empire Community Outreach Center | Counselor | 473 East Carnegie Drive, Suite 200, San Bernardino, CA 92408 | 2019-11-23 |
1992347801 | Care Marriage and Family Therapists, Inc. | Marriage & Family Therapist | 1881 Commercenter Drive E, Suite 232, San Bernardino, CA 92408 | 2019-10-11 |
1366084360 | Theraville Counseling Services, A Licensed Clinical Social Worker Corp | Social Worker | 155 W Hospitality Ln Ste 245, San Bernardino, CA 92408 | 2019-10-10 |
1548730419 | Adriana Alcaraz | Behavior Technician | 473 E Carnegie, Ste 200, San Bernardino, CA 92408 | 2018-12-04 |
1811467889 | Xavier J Molina-williams | Behavior Technician | 476 E Carnegie Drive, Ste 200, San Bernardino, CA 92408 | 2018-12-03 |
1780153148 | Gillian Washington | Behavior Technician | 473 E Carnegie Dr, Ste 200, Riverside, CA 92408 | 2018-11-15 |
Find all providers in zip 92408 |
Taxonomy Code | 246QM0706X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Spec/Tech, Pathology |
Specialization | Medical Technologist |
Definition to come... |
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 |
Find all providers with the same taxonomy |
City | SAN BERNARDINO |
Zip Code | 92408 |
Please comment or provide details below to improve the information on CURTIS TAGUE.
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.