Active NPI
Tamarrah D Oliver, PA
- Physician Assistant
- Fresno, CA
National Provider Identifier
1730318254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA20385
- Practice address
- 2790 S Elm Ave
Fresno, CA 93706-5435 - Phone
- (559) 457-5200
- Fax
- (559) 457-5290
- NPI assigned
- Jul 6, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA20385 | CA | Primary |
Addresses
Primary practice location
2790 S Elm Ave
Fresno, CA 93706-5435
Mailing address
1430 Truxtun Ave Ste 400
Bakersfield, CA 93301-5220
Phone (661) 635-3050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA20385 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246838400000",
"number": "1730318254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 TRUXTUN AVE STE 400",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933015220",
"telephone_number": "661-635-3050",
"fax_number": "661-326-1347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2790 S ELM AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937065435",
"telephone_number": "559-457-5200",
"fax_number": "559-457-5290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "TAMARRAH",
"middle_name": "D",
"name_prefix": "Miss",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-06",
"last_updated": "2009-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA20385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.