Provider Demographics
NPI:1770021453
Name:SAINI, TARISHA (NP)
Entity Type:Individual
Prefix:
First Name:TARISHA
Middle Name:
Last Name:SAINI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:TARISHA
Other - Middle Name:
Other - Last Name:THAPAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:726 N MEDICAL CENTER DR E
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93611-6881
Mailing Address - Country:US
Mailing Address - Phone:559-696-1626
Mailing Address - Fax:
Practice Address - Street 1:729 N MEDICAL CENTER DR W STE 223
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93611-6885
Practice Address - Country:US
Practice Address - Phone:559-900-3045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-02
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95005100363LF0000X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily