Provider Demographics
NPI:1346308798
Name:TOMSKY, JANA (MD)
Entity Type:Individual
Prefix:DR
First Name:JANA
Middle Name:
Last Name:TOMSKY
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 1:5439 CLAYTON RD STE B
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:CA
Mailing Address - Zip Code:94517-1076
Mailing Address - Country:US
Mailing Address - Phone:925-672-6744
Mailing Address - Fax:
Practice Address - Street 1:5439 CLAYTON RD STE B
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:CA
Practice Address - Zip Code:94517-1076
Practice Address - Country:US
Practice Address - Phone:925-672-6744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA84411207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI16906Medicare UPIN
CA00A844110Medicare PIN