Healthcare Provider Details

I. General information

NPI: 1043304017
Provider Name (Legal Business Name): THOMAS PAUL TARSHIS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 01/16/2026
Certification Date: 01/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3030 ASHBY AVE STE 104
BERKELEY CA
94705-2439
US

IV. Provider business mailing address

3030 ASHBY AVE STE 104
BERKELEY CA
94705-2439
US

V. Phone/Fax

Practice location:
  • Phone: 510-224-4221
  • Fax: 510-422-1442
Mailing address:
  • Phone: 510-224-4221
  • Fax: 510-422-1442

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA81257
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: