Mawayidna Tiwarika Tombegou, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

95015556 Issued in CA

Practice address

1345 Turk St Apt 206
San Francisco, CA 94115-8720

Phone

(415) 309-8858

NPI assigned

Mar 27, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1616803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616803200000",
    "number": "1306423009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13690 E 14TH ST STE 100",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782584",
            "telephone_number": "510-239-3048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 TURK ST APT 206",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941158720",
            "telephone_number": "415-309-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMBEGOU",
        "first_name": "MAWAYIDNA",
        "middle_name": "TIWARIKA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-27",
        "last_updated": "2021-03-27",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95015556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yoongi Tom, MD
• Jill Ann Tomamichel
• Madison Tomasek, RD
• Judith Ann Tomasso, P.T.
• Laklaba Edith Tombegou
• Crispin Tombo, LCSW
• Nicole Camela Tomboc, PHARM.D.
• Adrian Tomes
• Nobuyo Tomita
• William R. Tomkiewicz, MD

• Primary Care Nurse Practitioner in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2021; 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.