Chaning Tides Treatment
NPI 1508315250ActiveOrganization· Family Medicine, Addiction Medicine· Ventura, CA
Family Medicine, Addiction Medicine in Ventura, California, registered in NPPES in September 2016. The authorized official on file is Angela Iacullo, Billing.
Overview
| NPI | 1508315250 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 22, 2016 |
| Last updated in NPPES | Sep 22, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Addiction Medicine Primary | 207QA0401X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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