TIAZJANAE WILRIDGE RADT
NPI 1093286940
Counselor - Addiction (Substance Use Disorder) in Fair Oaks, CA
About Tiazjanae Wilridge Radt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIAZJANAE WILRIDGE RADT (NPI 1093286940) is an individual addiction (substance use disorder) provider in Fair Oaks, California, licensed in California (27035) and active in the NPI registry since December 2018.
NPPES Registry Identity
Specialties & Licenses 5
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAIR OAKS, CA 95628
FAIR OAKS, CA 95628
FAIR OAKS, CA 95628
FAIR OAKS, CA 95628
FAIR OAKS, CA 95628
FAIR OAKS, CA 95628
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tiazjanae Wilridge's NPI number?
The NPI number for Tiazjanae Wilridge is 1093286940. It was assigned to this individual provider in the NPPES registry on December 17, 2018.
Where is Tiazjanae Wilridge located?
Tiazjanae Wilridge practices at 11228 Fair Oaks Blvd, Fair Oaks, CA 95628. The listed phone number is (916) 216-5388.
What is Tiazjanae Wilridge's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
When was this NPI record last updated?
The NPPES record for Tiazjanae Wilridge was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Tiazjanae Wilridge, RADT · NPI 1093286940
Addiction (Substance Use Disorder) provider in Fair Oaks, California. Individual provider, active in the CMS NPPES registry since December 17, 2018.
## Identity
- **NPI:** 1093286940 (Entity type: Individual)
- **Enumerated:** December 17, 2018
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **State license:** 27035 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 11228 FAIR OAKS BLVD, Fair Oaks, CA 95628-5139
- **Phone:** (916) 216-5388
## Record status
- **NPPES last updated:** October 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1093286940) · Data from the CMS NPPES public registry.