Healthcare Provider Details

I. General information

NPI: 1225943236
Provider Name (Legal Business Name): TELAYNA HAMPTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 SNEATH LN STE 300
SAN BRUNO CA
94066-2349
US

IV. Provider business mailing address

1001 SNEATH LN STE 300
SAN BRUNO CA
94066-2349
US

V. Phone/Fax

Practice location:
  • Phone: 650-615-6028
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number386752
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: