Individual provider Active NPI

Tamara Lynn Trzcinski, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • Glendora, CA
National Provider Identifier
1083924260
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA21283 Issued in CA
Practice address
2301 E Foothill Blvd
Suite 100
Glendora, CA 91740-4000
Phone
(626) 852-3376
Fax
(626) 852-3375
NPI assigned
Oct 20, 2010
Last updated
Jan 8, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA21283 CA Primary
Surgical Physician Assistant 363AS0400X PA21283 CA

Addresses

Primary practice location

2301 E Foothill Blvd
Suite 100
Glendora, CA 91740-4000

Mailing address

425 S Fair Oaks Ave
Pasadena, CA 91105-2632
Phone (626) 449-8873

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170223000924 CA Practitioner - Physician Assistant 3870877632 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA21283CAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Foothill Dermatology Medical Center Past Accepting new patients
Amarpaul S Sidhu, M. D Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357603200000",
    "number": "1083924260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 S FAIR OAKS AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052632",
            "telephone_number": "626-449-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 E FOOTHILL BLVD",
            "address_2": "SUITE 100",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404000",
            "telephone_number": "626-852-3376",
            "fax_number": "626-852-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRZCINSKI",
        "first_name": "TAMARA",
        "middle_name": "LYNN",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2013-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA21283",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA21283",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

Verify at the official NPI Registry.