Tomi Lee Wall MD PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

TOMI LEE WALL MD PC

Practice address

3300 Webster St Ste 1106
Oakland, CA 94609-3125

Phone

(510) 763-2662

NPI assigned

Feb 2, 2023

Organization subpart

No

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

Authorized official

Name

Tomi Lee Wall, MDNPI 1417947060

Title

Ceo

Phone

(925) 348-4366

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tomi L.Wall Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tomi Lee Wall, MD

  • Dermatology Physician
  • Oakland, CA
  • NPI 1417947060
  NPD Authorized official

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1821794645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 WEBSTER ST STE 1106",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093125",
            "telephone_number": "510-763-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 WEBSTER ST STE 1106",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093125",
            "telephone_number": "510-763-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMI LEE WALL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "TOMI",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-348-4366",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - TYPE I",
            "identifier": "1417947060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tomi L.Wall",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tom K. Lee, M.D., Inc
• Aimee Tom, CNM
• Colton Mason Tom
• Hana Toma
• Stephanie Toman
• Emi Virginia Tomijima, RN, MSN, CNL, PHN
• Charlotte Tompkins
• Michael A. Tompkins, PH.D.
• Matthew Vy Ton-That, MD
• Amanda Ton, NP

• Dermatology Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.