Healthcare Provider Details

I. General information

NPI: 1518414879
Provider Name (Legal Business Name): TASHI SCHAAF RN, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2016
Last Update Date: 01/16/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 SUMMIT ST 2ND FLOOR, SUITE 2549
OAKLAND CA
94609-3412
US

IV. Provider business mailing address

3687 MT DIABLO BLVD STE 200
LAFAYETTE CA
94549-3746
US

V. Phone/Fax

Practice location:
  • Phone: 510-869-8865
  • Fax:
Mailing address:
  • Phone: 510-204-6660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP95003805
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95031354
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: