Provider Demographics
NPI:1114125796
Name:TAMAYO-SARVER, JOSHUA HOWLAND (MD, PH D)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:HOWLAND
Last Name:TAMAYO-SARVER
Suffix:
Gender:M
Credentials:MD, PH D
Other - Prefix:
Other - First Name:JOSHUA
Other - Middle Name:HOWLAND
Other - Last Name:SARVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:2100 POWELL ST
Mailing Address - Street 2:STE 900
Mailing Address - City:EMERYVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94608-1844
Mailing Address - Country:US
Mailing Address - Phone:510-851-7423
Mailing Address - Fax:510-879-9120
Practice Address - Street 1:1000 W CARSON ST
Practice Address - Street 2:DEPT OF EMERGENCY MEDICINE, BOX 21
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90502-2004
Practice Address - Country:US
Practice Address - Phone:310-222-3501
Practice Address - Fax:310-782-1763
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-05
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA97037207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine