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DR. FRED B TOMLINSON MEDICAL DOCTOR NPI 1679563159


NPI Information

NPI: 1679563159
Provider Name: DR. FRED B TOMLINSON, MEDICAL DOCTOR
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

Address:
223 MOUNT HERMON RD # A
SCOTTS VALLEY, CA
ZIP 95066
Phone: (831) 462-1000
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DR. Fred B Tomlinson, MEDICAL DOCTOR is a plastic and reconstructive surgery surgery in Scotts Valley, CA. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Fred B Tomlinson, MEDICAL DOCTOR NPI is 1679563159. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

223 MOUNT HERMON RD # A
SCOTTS VALLEY, CA
ZIP 95066-086
Phone: (831) 462-1000
Fax: (831) 462-9519

The enumeration date for this NPI number is 10/25/2005 and was last updated on 9/24/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryG8048CALIFORNIANo
22086S0122XSurgeryPlastic and Reconstructive SurgeryG80480CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1942418404OTHERIRS
2000G80480MEDICAIDCALIFORNIA
3000G80480MEDICARE ID-TYPE UNSPECIFIEDMEDICARE
4A58171MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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