Tammy Ann Walczak

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

105 Hospital Rd
Sonora, CA 95370-4618

Phone

(209) 533-6245

Fax

(209) 669-2588

NPI assigned

Oct 22, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Tammy Bray Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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

• County of Tuolumne

  • Community/Behavioral Health Agency
  • Sonora, CA
  • NPI 1366618035
  NPD
• County of Tuolumne

  • Community/Behavioral Health Agency
  • Sonora, CA
  • NPI 1417502188
  NPD

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1184876047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 S. GREEN ST",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953704618",
            "telephone_number": "209-533-6245",
            "fax_number": "209-669-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 HOSPITAL RD",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953704618",
            "telephone_number": "209-533-6245",
            "fax_number": "209-669-2588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALCZAK",
        "first_name": "TAMMY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-22",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "BRAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Visiting Nurse Association of the Mother Lode
• Judith C. Vyhmeister, M.D.
• Shelia J Wagnor
• Sabine Wahl-Barry, PT
• Kelsea Waite, OTR/L
• Donald Charles Waldman, M.D.
• Janet Waldman, RN, PHN
• Walmart Inc.
• Walmart Stores, Inc.
• Travis Wassermann, MD

• Case Manager/Care Coordinator in Sonora, CA
• Providers in Sonora, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.