SCOTT ANDREW TABISH MSPAS MPH PA-C NPI 1720366271

NPI Information

NPI: 1720366271
Provider Name: SCOTT ANDREW TABISH, MSPAS, MPH, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

PECOS Registration: Yes

Address:
280 W MACARTHUR BLVD
OAKLAND, CA
ZIP 94611
Phone: (801) 916-5309
Get Directions

Scott Andrew Tabish, MSPAS, MPH, PA-C is a surgical physician assistant in Oakland, CA with 13 years of experience. Scott Andrew Tabish, MSPAS, MPH, PA-C NPI is 1720366271. 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:

280 W MACARTHUR BLVD
OAKLAND, CA
ZIP 94611-642
Phone: (801) 916-5309

The NPI 1720366271 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/2/2011 and was last updated on 12/30/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA21687	CALIFORNIA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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