Tanya Marynka Collins, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A79079 Issued in CA

Practice address

425 Haaland Dr Ste 104
Thousand Oaks, CA 91361-5230

Phone

(805) 494-1948

Fax

(805) 494-1947

NPI assigned

Jul 11, 2006

Last updated

Aug 5, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: tcollins350278@oc.providencedirect.org

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.

• Providence Facey Medical Foundation

  dba Facey Medical Group

  • Internal Medicine Physician
  • Valencia, CA
  • NPI 1710031588

  Pediatrics

  Medicare reassignment NPD
• Providence Facey Medical Foundation

  dba Providence Express Care

  • Multi-Specialty Clinic/Center
  • Irvine, CA
  • NPI 1891348447
  NPD
• Kenneth L Saul MD, Inc.

  dba North Oaks Pediatric Medical Associates

  • Pediatrics Physician
  • Thousand Oaks, CA
  • NPI 1427179969
  NPD (past)
• Providence Facey Medical Foundation

  dba Facey Endoscopy Center

  • Ambulatory Surgical Clinic/Center
  • Mission Hills, CA
  • NPI 1194083824
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1326072588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 HAALAND DR STE 104",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913615230",
            "telephone_number": "805-494-1948",
            "fax_number": "805-494-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 HAALAND DR STE 104",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913615230",
            "telephone_number": "805-494-1948",
            "fax_number": "805-494-1947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "TANYA",
        "middle_name": "MARYNKA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A79079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A790790",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine M Cole, M.D.
• Amber Lea Coleman, M.D.
• Monte Carol Coleman, MSW, LCSW
• Vallerie Elizabeth Coleman, PH.D.
• Kathryn Collins, RD
• Community Medical Group Inc
• Compass Charter Schools of Los Angeles
• Compass Charter Schools of San Diego
• Compass Charter Schools of Yolo
• Compassionate Healthcare Solutions, Inc

• Pediatrics Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.