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NPI Code Detail

MEDICARE: ANGEL D TABUYO-MARTIN MD

MEDICARE: ANGEL D TABUYO-MARTIN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VX0201XGynecologic Oncology PhysicianA147327CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003293523
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGEL D TABUYO-MARTIN MD
Provider Business Mailing Address
First Line : 3400 DATA DR
Second Line :
City : RANCHO CORDOVA
State : CA
Zip : 95670-7956
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3301 C ST STE 550
Second Line :
City : SACRAMENTO
State : CA
Zip : 95816-3386
Country : US
Telephone Number : 916-556-3164
Fax Number : 916-733-5920
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2015
Last Update Date : 09/11/2023

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Directions to “ ANGEL D TABUYO-MARTIN MD” Practice Location

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