Individual provider Active NPI

Tanya Dolson, NP-C

  • Family Nurse Practitioner
  • Stockton, CA
National Provider Identifier
1336835040
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95023154 Issued in CA
Practice address
2626 N California St Ste B
Stockton, CA 95204-5500
Phone
(209) 466-2626
Fax
(209) 466-7153
NPI assigned
Apr 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 95023154 CA Primary

Addresses

Primary practice location

2626 N California St Ste B
Stockton, CA 95204-5500

Mailing address

2626 N California St Ste B
Stockton, CA 95204-5500
Phone (209) 466-2626

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
I20230913001616 CA Practitioner - Nurse Practitioner 7618331356 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Centers, Inc. Multi-Specialty Current Accepting new patients
Community Medical Centers, Inc CurrentSince Jun 2, 2025 Accepting new patients
Stockton Hematology Oncology Medical Group, Inc Multi-Specialty CurrentSince Jul 8, 2023 Accepting new patients
Community Medical Centers Inc CurrentSince Jun 2, 2025 Accepting new patients

Locations

2626 N California St
Ste B
Stockton, CA 95204
Phone (209) 466-2626

7210 Murray Dr
Stockton, CA 95210
Phone (209) 373-2816

2650 Wigwam Dr
Unit 0
Stockton, CA 95205
Phone (209) 636-5555

730 N Central Ave
Tracy, CA 95376
Phone (209) 820-1500

Interoperability endpoints

  • FHIR API: https://fhir.prod.flatiron.io/fhir/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1336835040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 N CALIFORNIA ST STE B",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045500",
            "telephone_number": "209-466-2626",
            "fax_number": "209-466-7153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 N CALIFORNIA ST STE B",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045500",
            "telephone_number": "209-466-2626",
            "fax_number": "209-466-7153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLSON",
        "first_name": "TANYA",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95023154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.