Active NPI
Debra Jeanne Tomaszewski, PA-C
- Physician Assistant
- Fort Bragg, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 58081
- Practice address
- 205 South St
Fort Bragg, CA 95437-5540 - Phone
- (707) 964-1251
- NPI assigned
- Nov 9, 2009
- Last updated
- Feb 2, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 58081 | CA | Primary |
| Medical Physician Assistant | 363AM0700X | PA1182 | NV |
Addresses
Primary practice location
205 South St
Fort Bragg, CA 95437-5540
Mailing address
Packages, LLC, 1329 Hwy 395 North
Suite 10-253
Gardnerville, NV 89410
Phone (775) 783-9776
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215264452 | Medicaid | NV |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 91.9 of 100
- Quality
- 81.89
- Promoting interoperability
- 99
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.98 of 100
- Quality
- 73.31
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 62
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20481 | CA | MD | Clinical Psychologist |
| 58081 | CA | MD | Dentist |
| PA1182 | NV | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Family Health Centers of San Diego Inc | Current | Accepting new patients |
Locations
4725 Market St
San Diego, CA 92102
Phone (619) 515-2560
823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323
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.
-
dba Logan Heights Family Health Center
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1447281936
-
dba FamilyHealth at City College
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1952729303
-
dba Escondido Physical Health and Wellness
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1356178180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738454400000",
"number": "1215264452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PACKAGES, LLC, 1329 HWY 395 NORTH",
"address_2": "SUITE 10-253",
"city": "GARDNERVILLE",
"state": "NV",
"postal_code": "89410",
"telephone_number": "775-783-9776",
"fax_number": "775-783-9866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 SOUTH ST",
"city": "FORT BRAGG",
"state": "CA",
"postal_code": "954375540",
"telephone_number": "707-964-1251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMASZEWSKI",
"first_name": "DEBRA",
"middle_name": "JEANNE",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-09",
"last_updated": "2025-02-02",
"certification_date": "2025-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "58081",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NV",
"license": "PA1182",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1215264452",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Bragg, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.