MR. ISMAEL D TACTAY JR. (NPI# 1639656028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639656028 |
Entity Type | Individual |
Full Name | MR. ISMAEL D TACTAY JR. |
Credential | RRT |
Practice Address |
4647 Zion Avenue Respiratory Care 4th Floor San Diego CA 92120 |
Practice Telephone | 6195287471 |
Practice Fax Number | 6195283201 |
Mailing Telephone | 6195287471 |
Mailing Fax Number | 6195283201 |
Enumeration Date | 2018-07-27 |
Last Update Date | 2018-07-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 227900000X | Respiratory Therapist, Registered | 22441 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
9455 Clairemont Mesa Blvd, Respiratory Care Services 4th Floor, San Diego, CA 92123 | 6192664209 |
Street Address |
4647 ZION AVENUE RESPIRATORY CARE 4TH FLOOR |
City | SAN DIEGO |
State | CA |
Zip Code | 92120 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942283999 | Amy Parsons Thomas | Genetic Counselor, MS | 4647 Zion Avenue, Kaiser Permanente Genetic Services, San Diego, CA 92120 | 2005-11-23 |
1740549831 | Kelly Elizabeth Kuczwara | Registered Nurse | 4647 Zion Avenue, San Diego, CA 92120 | 2012-05-09 |
1245598093 | Samantha Browde | Dietitian, Registered | 4647 Zion Avenue, San Diego, CA 92120 | 2012-04-30 |
1942421011 | Bobette Sherman | Dietitian, Registered | 4647 Zion Avenue, San Diego, CA 92120 | 2007-05-02 |
1750352803 | Olaf Brandt Nordling | Radiology | 4647 Zion Avenue, Kaiser Permanente Medical Center San Diego, San Diego, CA 92112 | 2006-01-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316550510 | Jessica Elizabeth Knight | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Ct, 310, San Diego, CA 92120 | 2020-08-26 |
1770195091 | Julia Roccanova | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Court, Suite 310, San Diego, CA 92120 | 2020-08-18 |
1225593601 | Truself Training, Inc | Clinic/Center | 5125 Waring Road, San Diego, CA 92120 | 2019-02-09 |
1508381799 | Antin Sachs | In Home Supportive Care | 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 | 2017-08-08 |
1588186415 | Matthew B Wilbat | Behavioral Analyst | 6851 Alvarado Rd., #17, San Diego, CA 92120 | 2017-07-12 |
1548782923 | Mori Khatibzadeh Dds Inc. | Clinic/Center | 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 | 2017-07-07 |
1306379359 | Ken Samith Oerding | Nurse Practitioner | 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 | 2017-04-06 |
1396134409 | Debra Michele Stern-ellis | Social Worker | 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 | 2015-01-13 |
1821494717 | Shohreh Tourian | Dentist | 7451 Mission Gorge Road, San Diego, CA 92120 | 2014-11-05 |
1184049215 | Charles Yin | Counselor | 6153 Fairmount Ave Suite #260, San Diego, CA 92120 | 2014-02-26 |
Find all providers in zip 92120 |
Taxonomy Code | 227900000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Respiratory Therapist, Registered |
A Registered Respiratory Therapist (RRT) is an advanced therapist who has passed standardized written and clinical simulation examinations administered by the National Board for Respiratory Care (NBRC). In addition, to the certified therapist (CRT) entry level skills, RRTs have advanced education and training in patient assessment, in the development and modification of patient care plans, and in assuring the appropriate utilization of respiratory care resources. An RRT is a graduate of an associate or baccalaureate degree producing educational programs approved by the Commission on Accreditation of Allied Health Education Programs (CAAHEP) and where applicable, is licensed by the state and is practicing within the scope of that license. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841770781 | Vanna Soung | Respiratory Therapist, Registered | 9455 Clairmontmesa Blvd, Respiratory Dept, San Diego, CA 92123 | 2018-08-20 |
1518446103 | Jacqueline Hill | Respiratory Therapist, Registered | 1167 Sea Reef Dr, San Diego, CA 92154-8428 | 2018-08-14 |
1255810313 | Emilie Martine Jean | Respiratory Therapist, Registered | 9455 Clairemont Mesa Blvd Fl 4, San Diego, CA 92123-1297 | 2018-08-09 |
1124506456 | Catherine Hoffmann | Respiratory Therapist, Registered | 4647 Zion Ave Fl 2, San Diego, CA 92120-2507 | 2018-07-30 |
1194021519 | Aleksandra Sable | Respiratory Therapist, Registered | 3998 Saint Agnes Ct, San Diego, CA 92130-2210 | 2011-02-02 |
1497375810 | Frank Lloyd Soriano Armas | Respiratory Therapist, Registered | 3020 Childrens Way, San Diego, CA 92123-4223 | 2020-04-27 |
1316414113 | Victor Tan | Respiratory Therapist, Registered | 9455 Clairemont Mesa Blvd, San Diego, CA 92123-1297 | 2018-10-30 |
1073088589 | Daniela Lara | Respiratory Therapist, Registered | 9455 Clairemont Mesa Blvd, San Diego, CA 92123-1297 | 2018-10-11 |
1790250264 | Damian Jason Ibanez | Respiratory Therapist, Registered | 4647 Zion Ave, San Diego, CA 92120-2507 | 2018-10-10 |
1659846830 | Brianna Faith Pierce | Respiratory Therapist, Registered | 9455 Clairemont Mesa Blvd, San Diego, CA 92123-1297 | 2018-10-03 |
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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.