Provider Demographics
NPI:1295888253
Name:ZILLMANN, TOMAS DOLF
Entity type:Individual
Prefix:DR
First Name:TOMAS
Middle Name:DOLF
Last Name:ZILLMANN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 276950
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95827-6950
Mailing Address - Country:US
Mailing Address - Phone:415-600-6240
Mailing Address - Fax:415-366-7574
Practice Address - Street 1:350 RHODE ISLAND ST STE 200
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-5188
Practice Address - Country:US
Practice Address - Phone:415-600-6240
Practice Address - Fax:415-366-7574
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-20
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG86306208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics