DR. TAMI HENDRIKSZ (NPI# 1104099951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104099951 |
| Entity Type | Individual |
| Full Name | DR. TAMI HENDRIKSZ |
| Credential | D.O. |
| Practice Address |
365 Tuolumne St Vallejo CA 94590-5700 |
| Mailing Address |
1310 Club Drive Vallejo CA 94592 |
| Practice Telephone | 7077842001 |
| Practice Fax Number | 7077841494 |
| Mailing Telephone | 7076385205 |
| Mailing Fax Number | 7076385225 |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2013-03-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 20A10308 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
365 TUOLUMNE ST |
| City | VALLEJO |
| State | CA |
| Zip Code | 94590-5700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508844796 | Georgia Carol Allen | Internal Medicine | 365 Tuolumne St, Vallejo, CA 94590-5700 | 2006-01-06 |
| 1720462468 | Jennifer Elton | Nurse Practitioner | 365 Tuolumne St, Vallejo, CA 94590-5700 | 2015-07-13 |
| 1164802617 | Clipper Young | Pharmacist | 365 Tuolumne St, Vallejo, CA 94590-5700 | 2015-05-30 |
| 1740687904 | Zenia Ticzon | Nurse Practitioner | 365 Tuolumne St, Vallejo, CA 94590-5700 | 2014-12-03 |
| 1811322274 | Nicole Pena | Neuromusculoskeletal Medicine & OMM | 365 Tuolumne St, Vallejo, CA 94590-5700 | 2013-09-04 |
| 1154672608 | Maria Gallego | Nurse Practitioner | 365 Tuolumne St, Vallejo, CA 94590-5700 | 2012-09-24 |
| 1285996611 | Joy Amanda Dugan | Physician Assistant | 365 Tuolumne St, Vallejo, CA 94590-5700 | 2012-06-12 |
| 1962797886 | Bronwyn Sing | Family Medicine | 365 Tuolumne St, Vallejo, CA 94590-5700 | 2011-06-20 |
| 1730310236 | County of Solano | Clinic/Center | 365 Tuolumne St, Vallejo, CA 94590-5700 | 2009-07-31 |
| 1003070541 | Christine Danielle Gorey | Obstetrics & Gynecology | 365 Tuolumne St, Vallejo, CA 94590-5700 | 2008-07-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265051445 | Jaspreet Bains | Licensed Vocational Nurse | 508 Alabama Street, Vallejo, CA 94590 | 2020-04-08 |
| 1467097527 | Deneane Hannon | Behavioral Analyst | 238 Georgia St. Ste 102, Vallejo, CA 94590 | 2019-11-13 |
| 1780243196 | Abla Harara Almoraissi | Health Educator | John F. Kennedy Library, 505 Santa Clara St, Vallejo, CA 94590 | 2019-06-10 |
| 1891264461 | Brian Emory Kellogg | Marriage & Family Therapist | 525 Oregon St., Php/iop, Vallejo, CA 94590 | 2018-11-13 |
| 1952801862 | Carica Theresa Saraza Macariola | Specialist/Technologist | 1007 Solano Avenue, Vallejo, CA 94590 | 2018-02-16 |
| 1770007973 | Deborah A Johnson-white | Licensed Vocational Nurse | 908 Tuolumne, Vallejo, CA 94590 | 2017-07-29 |
| 1306378260 | Edgar Diaz | Counselor | 236 Georgia Street Suite 101, Vallejo, CA 94590 | 2017-03-30 |
| 1528440096 | Soren Perry | Counselor | 236 Georgia St., Vallejo, CA 94590 | 2015-06-22 |
| 1518366327 | Kimberly A Holland | Counselor | 631 Tennessee Street Suite 201, Vallejo, CA 94590 | 2014-08-18 |
| 1841605193 | Lawana Lofton | Psychologist | 88 Valle Vista Drive, Unit 6310, Vallejo, CA 94590 | 2014-06-25 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083647325 | Sophie A Lay | Pediatrics | 2001 Springs Rd, Vallejo, CA 94591 | 2006-07-09 |
| 1932132297 | North Bay Pediatrics | Pediatrics | 160 Glen Cove Marina Rd #103, Vallejo, CA 94591 | 2006-07-09 |
| 1053711176 | Aaliyah Hodge | Pediatrics | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2014-08-26 |
| 1396089512 | Robyn Nicole George | Pediatrics | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2012-11-15 |
| 1568743722 | Nicole Rebecca Loeffler-siu | Pediatrics | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2011-09-01 |
| 1740575455 | Deepti K Mehta | Pediatrics | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2011-06-10 |
| 1073834644 | Kimberly Lynn Seaton-smith | Pediatrics | 100 Hospital Drive, Suite 200, Vallejo, CA 94589-2582 | 2010-06-18 |
| 1588827067 | Philip Joseph Malouf | Pediatrics | 365 Tuolumne St, Vallejo, CA 94590-5700 | 2008-07-06 |
| 1952570939 | Keedra Deshauna Mcneill | Pediatrics | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2008-02-25 |
| 1821120858 | Gary D. Evans | Pediatrics | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2007-03-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.