MEDICARE: JUDITH WILSON TINGEY PAC FNPC

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	363A00000X	Physician Assistant	OPA146110	CA
2	363L00000X	Nurse Practitioner	NP9633	CA

General Provider Information

NPI Number	:	1346216363
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUDITH WILSON TINGEY PAC FNPC

Provider Business Mailing Address
First Line	:	280 SIERRA COLLEGE DRIVE
Second Line	:	SUITE 120
City	:	GRASS VALLEY
State	:	CA
Zip	:	95945-5763
Country	:	US
Telephone Number	:	530-477-4480
Fax Number	:	530-477-7755

Provider Business Practice Location Address
First Line	:	280 SIERRA COLLEGE DRIVE
Second Line	:	SUITE 120
City	:	GRASS VALLEY
State	:	CA
Zip	:	95945-5763
Country	:	US
Telephone Number	:	530-477-4480
Fax Number	:	530-477-7755

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

Provider Enumeration Date	:	02/28/2006
Last Update Date	:	12/11/2013

Similar Medicare Providers

1225073588 — VALLEY ASSOCIATED UROLOGY MEDICARE GROUP INC
Practice Location Address:

200 COTTAGE AVE , STE 101
MANTECA, CA
95336-4935

Practice Phone: 209-239-2197
Practice Fax: 209-239-7672

1518917582 — DR. BRIAN EVANS M.D.
Practice Location Address:

280 SIERRA COLLEGE DR STE 280
GRASS VALLEY, CA
95945-5763

Practice Phone: 530-477-4480
Practice Fax: 530-274-7532

1336132273 — DR. MAHNEE L DINSMORE M.D.
Practice Location Address:

280 SIERRA COLLEGE DR STE 115
GRASS VALLEY, CA
95945-5763

Practice Phone: 530-477-3119
Practice Fax:

1578559084 — PHILLIP LEE KINTNER MD
Practice Location Address:

280 SIERRA COLLEGE DR STE 115
GRASS VALLEY, CA
95945-5763

Practice Phone: 530-477-3119
Practice Fax: 530-274-2077

1902880297 — DR. DEBORAH A. CHONG M.D.
Practice Location Address:

280 SIERRA COLLEGE DR STE 115
GRASS VALLEY, CA
95945-5763

Practice Phone: 530-477-3119
Practice Fax: 530-274-2077

1689640658 — JILL ELIZABETH FITZPATRICK MD
Practice Location Address:

280 SIERRA COLLEGE DR , SUITE 120
GRASS VALLEY, CA
95945-5763

Practice Phone: 530-477-4480
Practice Fax: 530-477-7755

Directions to “ JUDITH WILSON TINGEY PAC FNPC” 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.