Provider Demographics
NPI:1215043302
Name:SCOTT-TOMLINSON, TASHA (MD)
Entity Type:Individual
Prefix:MRS
First Name:TASHA
Middle Name:
Last Name:SCOTT-TOMLINSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 W LACEY BLVD
Mailing Address - Street 2:
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93230-4434
Mailing Address - Country:US
Mailing Address - Phone:559-583-8913
Mailing Address - Fax:559-583-0543
Practice Address - Street 1:224 W LACEY BLVD
Practice Address - Street 2:
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-4434
Practice Address - Country:US
Practice Address - Phone:559-583-8913
Practice Address - Fax:559-583-0543
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2017-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA00A88500208M00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
I21662Medicare UPIN
O0A88500UMedicare UPIN