Provider Demographics
NPI:1396740429
Name:LAYNE, TANYA (MD)
Entity type:Individual
Prefix:DR
First Name:TANYA
Middle Name:
Last Name:LAYNE
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 1:270 COHASSET RD
Mailing Address - Street 2:STE 120
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-2262
Mailing Address - Country:US
Mailing Address - Phone:530-893-4200
Mailing Address - Fax:530-893-4222
Practice Address - Street 1:270 COHASSET RD
Practice Address - Street 2:STE 120
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-2262
Practice Address - Country:US
Practice Address - Phone:530-893-4200
Practice Address - Fax:530-893-4222
Is Sole Proprietor?:No
Enumeration Date:2005-06-15
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG80430207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
080153973OtherMEDICARE RAILROAD #
CA00G804300Medicaid
080153973OtherMEDICARE RAILROAD #
CA00G804300Medicaid