Active NPI
Patrick James Tomafsky, PAC
- Physician Assistant
- Santa Cruz, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 51333
- Practice address
- 2911 Chanticleer Ave
Santa Cruz, CA 95065-1815 - Phone
- (831) 423-4111
- NPI assigned
- Jun 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | TMA051734 | PA | |
| Physician Assistant | 363A00000X | 51333 | CA | Primary |
Addresses
Primary practice location
2911 Chanticleer Ave
Santa Cruz, CA 95065-1815
Mailing address
2350 W El Camino Real
2ND Floor
Mountain View, CA 94040-6203
Phone (831) 423-4111
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140617002590 | CA | Practitioner - Physician Assistant | 7315046562 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sutter Bay Medical Foundation
Practice addresses (Care Compare)
2900 Chanticleer Ave
Santa Cruz, CA 95065-1816
2907 Chanticleer Ave
Santa Cruz, CA 95065-1815
Phone (831) 477-2375
2911 Chanticleer Ave
Santa Cruz, CA 95065-1815
Phone (831) 477-2350
2915 Chanticleer Ave
Santa Cruz, CA 95065-1815
Phone (831) 477-2375
550 S Green Valley Rd
Watsonville, CA 95076-3053
Phone (831) 458-5865
Hospital & facility affiliations
- Sutter Maternity & Surgery Center of Santa Cruz
- Dominican Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51333 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Cep America-California | Current | Accepting new patients | |
| Cep America-California | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Sutter East Bay Medical Foundation | Past | Accepting new patients |
Locations
2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000
3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800
370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
2350 W El Camino Real
Fl 2
Mountain View, CA 94040
Phone (650) 691-6174
795 El Camino Real
#1112
Palo Alto, CA 94301
795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832
4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156
123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200
2911 Chanticleer Ave
Santa Cruz, CA 95065
Phone (831) 477-2350
550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865
Interoperability endpoints
- ptomafsky248682@hisp.ehr.sutterhealth.org
Organizations & group practices 23
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.
-
- Ambulatory Surgical Clinic/Center
- San Jose, CA
- NPI 1033817168
-
- Ambulatory Surgical Clinic/Center
- Palo Alto, CA
- NPI 1104067115
-
- Durable Medical Equipment & Medical Supplies
- Sunnyvale, CA
- NPI 1134904899
-
- Durable Medical Equipment & Medical Supplies
- Mountain View, CA
- NPI 1144911140
-
- Durable Medical Equipment & Medical Supplies
- Santa Cruz, CA
- NPI 1154050029
-
- Clinical Medical Laboratory
- Palo Alto, CA
- NPI 1295459246
-
- Durable Medical Equipment & Medical Supplies
- Sunnyvale, CA
- NPI 1356070221
-
- Ambulatory Surgical Clinic/Center
- Fremont, CA
- NPI 1497996524
-
- Durable Medical Equipment & Medical Supplies
- Los Gatos, CA
- NPI 1518696459
-
- Durable Medical Equipment & Medical Supplies
- Fremont, CA
- NPI 1558090407
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437609600000",
"number": "1982808234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 W EL CAMINO REAL",
"address_2": "2ND FLOOR",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940406203",
"telephone_number": "831-423-4111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2911 CHANTICLEER AVE",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950651815",
"telephone_number": "831-423-4111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMAFSKY",
"first_name": "PATRICK",
"middle_name": "JAMES",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-12",
"last_updated": "2015-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "TMA051734",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "51333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.