Michael J. Tomcik, MD Professional Corporation
Organization Active NPI Dermatology Physician · Alamo, CA
NPI 1477579852 · NPPES record last updated Apr 25, 2023
Key facts
- NPI
- 1477579852
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dermatology Physician 207N00000X
- License
- C37353 (CA)
- Legal business name
- MICHAEL J. TOMCIK, MD PROFESSIONAL CORPORATION
- Practice address
- 3168 Danville Blvd Ste B
Alamo, CA 94507-1551 - Phone
- (925) 743-1488
- Fax
- (925) 743-1277
- NPI assigned
- Jul 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Connie Tomcik
- Title
- Office Administrator
- Phone
- (925) 743-1488
Practitioners 1
-
Michael J Tomcik, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0598867 | Michael Tomcik, MD | Compliance | Jul 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070608000259 | CA | Part B Supplier - Clinic/Group Practice | 4789782194 |
Receives reassigned benefits from 1 practitioner Practice locations: Alamo, CA |
National Provider Directory
Locations
3168 Danville Blvd
Ste B
Alamo, CA 94507
Phone (925) 743-1488
101 Park Pl
Ste 101
San Ramon, CA 94583
Phone (925) 743-1488
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician |
207N00000X | C37353 | CA | Yes |
Addresses
Primary practice location
3168 Danville Blvd Ste B
Alamo, CA 94507-1551
Mailing address
3168 Danville Blvd Ste B
Alamo, CA 94507-1551
Phone (925) 743-1488
Other providers in Alamo, CA
- David William Majeroni
- Manisha Malhotra
- Nancy McCalla
- Nicole McDonald
- Rachel McNiff
- Amy Miller
- Shalini Mongia
- Kristine Dawn Arciaga Monteith
- Moore Chiropractic and Neuropathy, Inc.
- Ashley Mutchek
All providers in Alamo, CA · Dermatology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.