Healthcare Provider Details

I. General information

NPI: 1972427482
Provider Name (Legal Business Name): TOSIA CHISHTY RDH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

423 CORPORAL EVANS RD
MONTEREY CA
93944-3403
US

IV. Provider business mailing address

3000 PINOS WAY UNIT C
MARINA CA
93933-5395
US

V. Phone/Fax

Practice location:
  • Phone: 831-242-5612
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number29340
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: