Healthcare Provider Details

I. General information

NPI: 1720492713
Provider Name (Legal Business Name): ZEV S. TOVIAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2014
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 MARK WEST SPRINGS RD FL 2
SANTA ROSA CA
95403-1783
US

IV. Provider business mailing address

34 MARK WEST SPRINGS RD FL 2
SANTA ROSA CA
95403-1783
US

V. Phone/Fax

Practice location:
  • Phone: 707-303-3600
  • Fax:
Mailing address:
  • Phone: 707-303-3611
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA143227
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberA143227
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: