Active NPI
The Tam Pacific Group LLC
- Home Health Agency
- Mill Valley, CA
National Provider Identifier
1457584898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- THE TAM PACIFIC GROUP LLC
- Practice address
- 150 Shoreline Hwy
Suite B28
Mill Valley, CA 94941-3639 - Phone
- (415) 332-3300
- Fax
- (415) 373-9449
- NPI assigned
- Sep 2, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Paul Wichman
- Title
- President
- Phone
- (415) 332-3300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
150 Shoreline Hwy
Suite B28
Mill Valley, CA 94941-3639
Mailing address
150 Shoreline Hwy
Suite B28
Mill Valley, CA 94941-3639
Phone (415) 332-3300
Other names 1
- BrightStar of Marin
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251849600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251849600000",
"number": "1457584898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 SHORELINE HWY",
"address_2": "SUITE B28",
"city": "MILL VALLEY",
"state": "CA",
"postal_code": "949413639",
"telephone_number": "415-332-3300",
"fax_number": "415-373-9449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 SHORELINE HWY",
"address_2": "SUITE B28",
"city": "MILL VALLEY",
"state": "CA",
"postal_code": "949413639",
"telephone_number": "415-332-3300",
"fax_number": "415-373-9449"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE TAM PACIFIC GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-02",
"last_updated": "2009-09-02",
"status": "A",
"authorized_official_last_name": "WICHMAN",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "415-332-3300",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BrightStar of Marin",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mill Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.