MR. RALPH EMMANUEL TAGUBA (NPI# 1881164739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881164739 |
Entity Type | Individual |
Full Name | MR. RALPH EMMANUEL TAGUBA |
Credential | PA-C |
Practice Address |
2074 S 6th St Klamath Falls OR 97601-3372 |
Practice Telephone | 5418518110 |
Mailing Telephone | 5418518110 |
Enumeration Date | 2018-12-04 |
Last Update Date | 2019-12-10 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities | ||
N | 363A00000X | Physician Assistant | PA191687 | OR | Physician Assistants & Advanced Practice Nursing Providers |
N | 363A00000X | Physician Assistant | 1158708 | NV | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 170061 | 05 |
Street Address |
2074 S 6TH ST |
City | KLAMATH FALLS |
State | OR |
Zip Code | 97601-3372 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336134055 | Randall B Mayberry | Dentist | 2074 S 6th St, Klamath Falls, OR 97601-3372 | 2005-09-19 |
1245830132 | Gabrielle Cornelia | Registered Nurse | 2074 S 6th St, Klamath Falls, OR 97601-3372 | 2020-10-29 |
1043810930 | Tiffany Nicole Fregoso | Registered Nurse | 2074 S 6th St, Klamath Falls, OR 97601-3372 | 2020-10-29 |
1538788021 | Rachel Marie Margis | Dentist | 2074 S 6th St, Klamath Falls, OR 97601-3372 | 2020-04-14 |
1255961462 | Hannah Jayne Hayes | Physician Assistant | 2074 S 6th St, Klamath Falls, OR 97601-3372 | 2020-01-16 |
1912549544 | Roy Robert Babb II | Pharmacist | 2074 S 6th St, Klamath Falls, OR 97601-3372 | 2019-10-15 |
1346882966 | Tyler Dearing | Pharmacist | 2074 S 6th St, Klamath Falls, OR 97601-3372 | 2019-10-15 |
1740836238 | Megan Ashley Mclean | Dentist | 2074 S 6th St, Klamath Falls, OR 97601-3372 | 2019-08-12 |
1518519800 | Erin Welch | Pharmacist | 2074 S 6th St, Klamath Falls, OR 97601-3372 | 2019-07-16 |
1386121069 | Matthew Joseph Heberling | Physician Assistant | 2074 S 6th St, Klamath Falls, OR 97601-3372 | 2018-07-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205487311 | Socorro Guadalupe Alcala- Peres | Case Manager/Care Coordinator | 2210 N El Dorado Ave, Klamath Falls, OR 97601 | 2019-09-20 |
1033760053 | Melissa Ann Roy | Counselor | 2210 North El Dorado, 2210 North El Dorado, Klamath Falls, OR 97601 | 2019-09-20 |
1134699721 | Kristin Asta Ragnarsson | Speech-Language Pathologist | Plum Ridge Care 1401 Bryant Williams, Klamath Falls, OR 97601 | 2018-11-27 |
1730667445 | Nancy Leota Baley | Pharmacist | Sky Lakes Outpatient Pharmacy, 2865 Daggett Street, Klamath Falls, OR 97601 | 2018-08-03 |
1336511260 | Patricia Blauvelt | Occupational Therapy Assistant | 1401 Bryant Williams Dr, Klamath Falls, OR 97601 | 2015-10-30 |
1598160814 | Christopher S. Turner | Counselor | 635 Main St., Klamath Falls, OR 97601 | 2014-10-29 |
1134472582 | Whole Person Care Family Practice | Family Medicine | 2301 Mountainview Blvd. Ste B, Klamath Falls, OR 97601 | 2012-10-23 |
1255692687 | Billy Dean Vermaas | Physical Medicine & Rehabilitation | 204 N. 10th Street, Klamath Falls, OR 97601 | 2012-06-01 |
1407140700 | Wendell C Heidinger Md | Family Medicine | 2301 Clairmont Drive, Klamath Falls, OR 97601 | 2011-06-03 |
1740573146 | Klamath Youh Department Center | Community/Behavioral Health | 2210 Eldordo Ave, Klamath Falls, OR 97601 | 2011-05-18 |
Find all providers in zip 97601 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417411505 | Klamath Health Partnership, Inc | Clinic/Center | 2210 N Eldorado Ave Ste A, Klamath Falls, OR 97601-6418 | 2019-01-23 |
1447644190 | Klamath Health Partnership, Inc | Clinic/Center | 2684 Campus Dr, Klamath Falls, OR 97601-1105 | 2015-03-20 |
1538155825 | Klamath Health Partnership Inc | Clinic/Center | 2074 South 6th Street, Klamath Falls, OR 97601-3372 | 2005-09-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215540398 | La Clinica Del Valle Family Healthcare Center Inc. | Clinic/Center | 102 Christian Avenue, Talent, OR 97540 | 2020-08-28 |
1790398048 | La Clinica Del Valle Family Healthcare Center Inc. | Clinic/Center | 307 Wagner Creek Road, Talent, OR 97540 | 2020-08-26 |
1922656289 | Clackamas County | Clinic/Center | 39831 Highway 26, Sandy, OR 97055-6558 | 2019-08-29 |
1063067312 | Virginia Garcia Memorial Health Center | Clinic/Center | 11300 Sw Hazelbrook Rd, Tualatin, OR 97062-6980 | 2019-08-05 |
1679053946 | Siskiyou Community Health Center Inc | Clinic/Center | 830 Ne 9th St, Grants Pass, OR 97526-1626 | 2018-08-16 |
1427563733 | Central City Concern Inc | Clinic/Center | 1415 Se 122nd Ave, Portland, OR 97233 | 2017-12-08 |
1598284242 | Winding Waters Medical Clinic | Clinic/Center | 401b N Main St, Joseph, OR 97846-5030 | 2017-09-13 |
1750807111 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 821 N Riverside Ave, Medford, OR 97501 | 2017-08-17 |
1477005619 | Outside In | Clinic/Center | 1226 Sw 12th Ave, Portland, OR 97205-2029 | 2016-11-03 |
1912450461 | Rogue Community Health | Clinic/Center | 2830 Maple Ct, White City, OR 97503-1357 | 2016-08-02 |
Find all providers with the same taxonomy |
City | KLAMATH FALLS |
Zip Code | 97601 |
Please comment or provide details below to improve the information on MR. RALPH EMMANUEL TAGUBA.
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.