Healthcare Provider Details

I. General information

NPI: 1932498136
Provider Name (Legal Business Name): ASHISH TAMBAR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2011
Last Update Date: 04/08/2021
Certification Date: 04/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5055 CALIFORNIA AVE STE 300
BAKERSFIELD CA
93309-0712
US

IV. Provider business mailing address

5055 CALIFORNIA AVE STE 300
BAKERSFIELD CA
93309-0712
US

V. Phone/Fax

Practice location:
  • Phone: 855-323-2700
  • Fax:
Mailing address:
  • Phone: 855-323-2700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberA151648
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: