Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
UNI
Active
Organization
UNI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARIA ANN THARAKAN NURSE (RN)
(516) 993-7775
Entity
Organization
Contact information
Practice address
1711 HORIZON HEIGHTS CIR, EL CAJON, CA 92019-1159
(516) 993-7775
Mailing address
1711 HORIZON HEIGHTS CIR, EL CAJON, CA 92019-1159
(516) 993-7775
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
798212
CA
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up