Provider Demographics
NPI:1205636313
Name:CARDINAL DIRECTION HEALTH
Entity type:Organization
Organization Name:CARDINAL DIRECTION HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JACLYN
Authorized Official - Middle Name:FELICIA
Authorized Official - Last Name:TOZAKI
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:667-261-3085
Mailing Address - Street 1:3204 SAINT JOHNS LN
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-2604
Mailing Address - Country:US
Mailing Address - Phone:202-679-1758
Mailing Address - Fax:
Practice Address - Street 1:3204 SAINT JOHNS LN
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042-2604
Practice Address - Country:US
Practice Address - Phone:202-679-1758
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRUENORTH SOLUTIONS GROUP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, BasicGroup - Multi-Specialty