Healthcare Provider Details

I. General information

NPI: 1487790143
Provider Name (Legal Business Name): DAVID ANDREW TOMPKINS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 05/09/2025
Certification Date: 05/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

995 POTRERO AVE # WARD83
SAN FRANCISCO CA
94110-2859
US

IV. Provider business mailing address

995 POTRERO AVE # WARD83
SAN FRANCISCO CA
94110-2859
US

V. Phone/Fax

Practice location:
  • Phone: 628-206-3645
  • Fax: 628-206-6875
Mailing address:
  • Phone: 628-206-3645
  • Fax: 628-206-6875

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberD0065403
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberC149238
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License NumberC149238
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: