Provider Demographics
NPI:1881861458
Name:TSINGIS, THERESA ANN (PA-C, DC, MS, MPH)
Entity Type:Individual
Prefix:
First Name:THERESA
Middle Name:ANN
Last Name:TSINGIS
Suffix:
Gender:F
Credentials:PA-C, DC, MS, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:978 2ND ST STE 100
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-4544
Mailing Address - Country:US
Mailing Address - Phone:925-283-9355
Mailing Address - Fax:844-274-4071
Practice Address - Street 1:978 2ND ST STE 100
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-4544
Practice Address - Country:US
Practice Address - Phone:925-283-9355
Practice Address - Fax:844-274-4071
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-13
Last Update Date:2020-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA16913111N00000X, 111NN1001X, 133NN1002X
CAPA52684363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No111N00000XChiropractic ProvidersChiropractor
No111NN1001XChiropractic ProvidersChiropractorNutrition
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education