TARA LANGE (NPI# 1487052015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487052015 |
| Entity Type | Individual |
| Full Name | TARA LANGE |
| Practice Address |
525 W Acacia St Stockton CA 95203-2405 |
| Mailing Address |
10326 Lanier Ln Stockton CA 95219-7116 |
| Practice Telephone | 2094613104 |
| Mailing Telephone | 3072149938 |
| Enumeration Date | 2014-12-14 |
| Last Update Date | 2014-12-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 3449 | WY | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 66820 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528536182 | Tara Lee Lange | Social Worker | 3401 Rainier Ave S, Seattle, WA 98144-6954 | 2018-11-12 |
| 1427475078 | Tara R Lange | Occupational Therapist | 103 W Stone Dr, Kingsport, TN 37660-3220 | 2014-03-20 |
| Street Address |
525 W ACACIA ST |
| City | STOCKTON |
| State | CA |
| Zip Code | 95203-2405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538163886 | Dameron Hospital Association | General Acute Care Hospital | 525 W Acacia St, Stockton, CA 95203-2405 | 2005-06-01 |
| 1023663762 | Michelle Lai | Physician Assistant | 525 W Acacia St, Stockton, CA 95203-2405 | 2019-08-08 |
| 1619537073 | Cep America - Anesthesia PC | Anesthesiology | 525 W Acacia St, Stockton, CA 95203-2405 | 2019-06-18 |
| 1891273405 | Hospitalist Medicine Physicians of California - Stockton, PC | Internal Medicine | 525 W Acacia St, Stockton, CA 95203-2405 | 2018-08-06 |
| 1518490358 | California Em-i Medical Services A Medical Corporation | Physician Assistant | 525 W Acacia St, Stockton, CA 95203-2405 | 2017-04-08 |
| 1497286306 | Grace Rodriguez | Emergency Medicine | 525 W Acacia St, Stockton, CA 95203-2405 | 2017-03-22 |
| 1407391576 | Steven Frank Blankenship Jr. | Dietitian, Registered | 525 W Acacia St, Stockton, CA 95203-2405 | 2016-12-28 |
| 1376999748 | Sreekanth Murupudi | Internal Medicine | 525 W Acacia St, Stockton, CA 95203-2405 | 2016-05-04 |
| 1346695038 | Matthew Mitchell | Pharmacist | 525 W Acacia St, Stockton, CA 95203-2405 | 2016-04-29 |
| 1609239532 | Anil K. Sain, Md | Nuclear Medicine | 525 W Acacia St, Stockton, CA 95203-2405 | 2016-03-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447899349 | Sagrario Alva Chavez | Technician | Sagrario Chavez, 1248 West Park St., Stockton, CA 95203 | 2019-12-26 |
| 1538682810 | Kumars Transport | Non-emergency Medical Transport (VAN) | 1112 W Fremont St, Stockton, CA 95203 | 2017-07-19 |
| 1194251595 | Jesmond Ridge Medical Services A Medical Corporation | Emergency Medicine | 525 W Acacla St, Stockton, CA 95203 | 2017-05-04 |
| 1285011064 | Brian Andrew Reuter | Emergency Medicine | Dameron Hospital, 525 Acacia St, Stockton, CA 95203 | 2015-04-30 |
| 1548209240 | Aaron James Simko | Pediatrics | 525 Acacia Street, Neonatal Department, Stockton, CA 95203 | 2006-06-06 |
| 1881057461 | El Concilio | Case Management | 445 N San Joaquin St, Stockton, CA 95203 | 2016-04-01 |
| 1104312800 | Melissa Delossantos | Behavioral Analyst | 2180 Lucerne Ave, Stockton, CA 95203-1257 | 2018-07-05 |
| 1487019568 | Evelyn Marie Cabral | Registered Nurse | 1966 W Rose St, Stockton, CA 95203-1327 | 2015-12-16 |
| 1245782622 | Christine Bolthouse | Specialist/Technologist | 1858 Lucerne Ave, Stockton, CA 95203-1440 | 2016-11-01 |
| 1235476946 | Sonia D Oliver | Case Manager/Care Coordinator | 1764 W Rose St, Stockton, CA 95203-1526 | 2013-01-15 |
| Find all providers in zip 95203 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295341766 | Sarah Trinh | Pharmacist | 1801 E March Ln Ste B280, Stockton, CA 95210-6653 | 2020-09-21 |
| 1629680566 | Karla Marina Aguirre Luna | Pharmacist | 3047 Battleview Pl, Stockton, CA 95209-1623 | 2020-08-21 |
| 1457973372 | David Le | Pharmacist | 9141 Sentinel Ct, Stockton, CA 95212-3211 | 2020-05-13 |
| 1194346163 | Nhon Tran | Pharmacist | 7232 Kelley Dr, Stockton, CA 95207-1117 | 2020-04-30 |
| 1316573249 | May Chen | Pharmacist | 757 Brookside Rd Phs 229, Stockton, CA 95211-0001 | 2020-03-23 |
| 1336787001 | Albert Diep | Pharmacist | 1832 Del Rio Dr, Stockton, CA 95204-1718 | 2019-12-12 |
| 1518464692 | Szarisse Fernandez | Pharmacist | 2040 E. Mariposa Rd., Stockton, CA 95205 | 2018-04-06 |
| 1104272954 | William Luther Bennett | Pharmacist | 1131 Sunnyoak Way, Stockton, CA 95209 | 2016-05-11 |
| 1609239177 | Michael Tennant | Pharmacist | 10560 Lake Point Ave, Stockton, CA 95219-7274 | 2016-04-01 |
| 1811352305 | Samra Liaqat | Pharmacist | 2364 Golden Bear Cir, Stockton, CA 95209-1765 | 2015-12-28 |
| Find all providers in STOCKTON | ||||
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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.