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OLIVER TODD TAMIS
NPI 1235768276
Student in an Organized Health Care Education/Training Program in Vallejo, CA

Active since April 02, 2020PECOS Enrolled
1310 CLUB DR, VALLEJO, CA 94592(707) 638-5278(707) 638-5930 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Oliver Todd Tamis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLIVER TODD TAMIS (NPI 1235768276) is an individual student in an organized health care education/training program in Vallejo, California and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235768276
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameOLIVER TODD TAMIS
Location Address1310 CLUB DRVallejo, CA 94592-1187
Mailing Address1310 Club DrVallejo, CA 94592-1187 · (707) 638-5278 · Fax (707) 638-5930
Phone(707) 638-5278
Fax(707) 638-5930
Sole ProprietorYes
Enumeration DateApril 2, 2020
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedApril 2, 2020
✔ NPI 1235768276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1310 CLUB DR, Vallejo, CA 94592
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Other Identifiers 1

Medicaid99927584G39203CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oliver Todd Tamis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THAO-VY THI TRAN
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Solano County (707) 638-5200
CARLY COLE
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Solano County (707) 638-5809
RICARDO CALIXTRO-LOPEZ
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Solano County (707) 638-5809
ASHLEY NICOLE RITUALO CHAN
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Solano County (707) 638-5809
EMILY SPAIN
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Solano County (707) 638-5809
AUSTIN JOE WILLIS
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Solano County (707) 638-5809
ANNA NUNOO
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Solano County (707) 638-5809
MAYANKA BARATH
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Solano County (707) 638-5809

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oliver Tamis's NPI number?

The NPI number for Oliver Tamis is 1235768276. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Where is Oliver Tamis located?

Oliver Tamis practices at 1310 Club Dr, Vallejo, CA 94592. The listed phone number is (707) 638-5278.

What is Oliver Tamis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Oliver Tamis enrolled in Medicare?

Yes. Oliver Tamis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Oliver Tamis was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.