Healthcare Provider Details

I. General information

NPI: 1992405260
Provider Name (Legal Business Name): MARIA CARMINA CLARA POSADAS TONGSON FNP-C, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CARMINA TONGSON FNP-C, RN

II. Dates (important events)

Enumeration Date: 03/06/2023
Last Update Date: 02/16/2025
Certification Date: 02/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 N BASCOM AVE STE 202
SAN JOSE CA
95128-1811
US

IV. Provider business mailing address

105 N BASCOM AVE STE 202
SAN JOSE CA
95128-1811
US

V. Phone/Fax

Practice location:
  • Phone: 408-993-1500
  • Fax:
Mailing address:
  • Phone: 408-993-1500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95028653
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95279482
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: