Provider Demographics
NPI:1821268244
Name:TAMAYO, GRACE YAMSUAN
Entity type:Individual
Prefix:MS
First Name:GRACE
Middle Name:YAMSUAN
Last Name:TAMAYO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:379 BURKE DR
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94544-4703
Mailing Address - Country:US
Mailing Address - Phone:510-599-9029
Mailing Address - Fax:
Practice Address - Street 1:379 BURKE DR
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94544-4703
Practice Address - Country:US
Practice Address - Phone:650-888-3538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-03
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No171M00000XOther Service ProvidersCase Manager/Care Coordinator