MEDICARE: MS. ANDREA MINOR THACH M.D.

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
1	207R00000X	Internal Medicine Physician	MD00021008	WA
2	207R00000X	Internal Medicine Physician	53457	CA
3	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	MD00021008	WA
4	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	G53457	CA

General Provider Information

NPI Number	:	1265484240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANDREA MINOR THACH M.D.

Provider Business Mailing Address
First Line	:	325 DISTEL CIR
Second Line	:
City	:	LOS ALTOS
State	:	CA
Zip	:	94022-1408
Country	:	US
Telephone Number	:	510-204-3410
Fax Number	:	510-204-3411

Provider Business Practice Location Address
First Line	:	3100 SUMMIT ST FL 2
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94609-3412
Country	:	US
Telephone Number	:	510-204-3410
Fax Number	:	510-204-3411

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	09/09/2020

Similar Medicare Providers

1417375940 — NUPUR GUPTA D.O.
Practice Location Address:

3100 SUMMIT ST, 2ND FLOOR
OAKLAND, CA
94609-3412

Practice Phone: 510-869-8400
Practice Fax:

1639177488 — SHARON VOGAN DNP, MSN, RN, FNP-BC
Practice Location Address:

3100 SUMMIT ST FL 3
OAKLAND, CA
94609-3412

Practice Phone: 510-879-9226
Practice Fax:

1265404719 — DR. HERBERT ARTHUR HOLMAN MD
Practice Location Address:

3100 SUMMIT ST , FL 2
OAKLAND, CA
94609-3412

Practice Phone: 510-869-8400
Practice Fax:

1528015526 — MS. LISA PITTENGER EDWARDS LCSW
Practice Location Address:

3100 SUMMIT ST
OAKLAND, CA
94609-3412

Practice Phone: 510-204-3407
Practice Fax: 510-204-3411

1083743769 — CATHERINE D TANNER FNP
Practice Location Address:

3100 SUMMIT ST , THIRD FLOOR, SUITE 3206
OAKLAND, CA
94609-3412

Practice Phone: 510-869-6511
Practice Fax: 510-869-6677

1669685863 — MS. CECILY DIAN REEVES FNP, PHD
Practice Location Address:

3100 SUMMIT ST
OAKLAND, CA
94609-3412

Practice Phone: 415-686-1115
Practice Fax:

Directions to “ MS. ANDREA MINOR THACH M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.