Healthcare Provider Details

I. General information

NPI: 1861282550
Provider Name (Legal Business Name): TANYA ANJALI KUMAR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2025
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8945 GOLF LINKS RD
OAKLAND CA
94605-4124
US

IV. Provider business mailing address

2752 BREAKER LN
HAYWARD CA
94545-1347
US

V. Phone/Fax

Practice location:
  • Phone: 510-654-4004
  • Fax:
Mailing address:
  • Phone: 510-585-8049
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95412029
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: