Groom, Tammi Elaine

Groom, Tammi Elaine is an individual health care provider with primary practice located at 2557 Mowry Ave Ste 34 , Fremont CA 94538-1614. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Groom, Tammi Elaine can be contacted via phone (510) 794-5320.

Contact Information

Primary practice address
2557 Mowry Ave Ste 34 Fremont CA 94538-1614
Phone: (510) 794-5320
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 020093 New York
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA13937 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA13937 California

Profile Details

NPI number 1952472151
LBN Legal business name Groom, Tammi Elaine
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2006
Last updated Sep 25th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1952472151 NPPES
California MEDICAID 00PA139370

Popular Providers