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General NPI Number Information
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NPI Number | 1982808234
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Entity Type | Individual
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Provider Name | PATRICK JAMES TOMAFSKY PAC
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Gender | Male
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 07/23/2015
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Provider Practice Location Address
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Address Line | 2911 CHANTICLEER AVE
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City | SANTA CRUZ
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State | CA
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Zip | 95065-1815
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Country | US
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Telephone | 831-423-4111
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Fax |
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Provider Business Mailing Address
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Address Line | 2350 W EL CAMINO REAL 2ND FLOOR
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-6203
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Country | US
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Telephone | 831-423-4111
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | TMA051734
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 51333
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License Number State | CA
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