MR. ISMAEL D TACTAY JR.


Address: 4647 Zion Avenue, Respiratory Care 4th Floor, San Diego, CA 92120
Phone: 6195287471

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 227900000X Respiratory Therapist, Registered 22441 CA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
9455 Clairemont Mesa Blvd, Respiratory Care Services 4th Floor, San Diego, CA 92123 6192664209

Office Location

Street Address 4647 ZION AVENUE
RESPIRATORY CARE 4TH FLOOR
City SAN DIEGO
State CA
Zip Code 92120

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 227900000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Respiratory Therapist, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92120

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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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