Healthcare Provider Details

I. General information

NPI: 1134023377
Provider Name (Legal Business Name): TONI POKORNY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1469 FERRY ST
ANDERSON CA
96007-3313
US

IV. Provider business mailing address

1469 FERRY ST
ANDERSON CA
96007-3313
US

V. Phone/Fax

Practice location:
  • Phone: 530-365-2741
  • Fax: 530-365-5446
Mailing address:
  • Phone: 530-365-2741
  • Fax: 530-365-5446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number697253
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: