JESSE RAY TARIN LVN NPI 1730782665

NPI Information

  • NPI: 1730782665
  • Provider Name: JESSE RAY TARIN, LVN
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • Address: 23155 GUINEA ST
    LAKE FOREST, CA
    ZIP 92630
  • Phone: (949) 922-9843

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NPI Details

Jesse Ray Tarin, LVN is a licensed practical nurse in Lake Forest, CA. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Jesse Ray Tarin, LVN NPI is 1730782665. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

23155 GUINEA ST
LAKE FOREST, CA
ZIP 92630-829
Phone: (949) 922-9843

The enumeration date for this NPI number is 11/21/2020 and was last updated on 11/21/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1164W00000XLicensed Practical Nurse289991CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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