Provider Demographics
NPI:1790191989
Name:TAPIA, JANELLE
Entity type:Individual
Prefix:
First Name:JANELLE
Middle Name:
Last Name:TAPIA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 TRINKLING CREEK DR
Mailing Address - Street 2:
Mailing Address - City:FELTON
Mailing Address - State:CA
Mailing Address - Zip Code:95018-8928
Mailing Address - Country:US
Mailing Address - Phone:831-278-1326
Mailing Address - Fax:831-464-2641
Practice Address - Street 1:4795 OPAL CLIFF DR
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95062-5229
Practice Address - Country:US
Practice Address - Phone:831-464-8694
Practice Address - Fax:831-464-2641
Is Sole Proprietor?:No
Enumeration Date:2014-07-08
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA44CFOtherMEDI-CAL PRV NBR