Healthcare Provider Details

I. General information

NPI: 1588568612
Provider Name (Legal Business Name): TIANYI ZHANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2026
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 YGNACIO VALLEY RD
WALNUT CREEK CA
94598-3122
US

IV. Provider business mailing address

382 CATALAN WAY
SAN RAMON CA
94582-6004
US

V. Phone/Fax

Practice location:
  • Phone: 925-939-3000
  • Fax:
Mailing address:
  • Phone: 925-999-0559
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number92909
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: