TANYA KOFOED BROSNAN (NPI# 1285016998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285016998 |
| Entity Type | Individual |
| Full Name | TANYA KOFOED BROSNAN |
| Credential | P.A. |
| Practice Address |
7901 Stoneridge Dr Suite 230 Pleasanton CA 94588-3677 |
| Mailing Address |
Po Box 22210 Oakland CA 94623-2210 |
| Practice Telephone | 9252771123 |
| Mailing Telephone | 5105354000 |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-08-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA52463 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7901 STONERIDGE DR SUITE 230 |
| City | PLEASANTON |
| State | CA |
| Zip Code | 94588-3677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477607968 | Brent Hughey | Clinical Neuropsychologist | 7901 Stoneridge Dr, 521, Pleasanton, CA 94588-3677 | 2007-01-22 |
| 1427575083 | Travel Well Corporation | Preventive Medicine | 7901 Stoneridge Dr, Suite 430, Pleasanton, CA 94588-3654 | 2017-08-24 |
| 1215357561 | Comprehensive Pain Medical Center, Inc | Physical Medicine & Rehabilitation | 7901 Stoneridge Dr, 225, Pleasanton, CA 94588-3677 | 2014-04-24 |
| 1205136272 | Sharon Perlman Berry | Clinical Neuropsychologist | 7901 Stoneridge Dr, Suite 521, Pleasanton, CA 94588-3677 | 2010-10-25 |
| 1114258787 | Sara Marie Sanders | Psychologist | 7901 Stoneridge Dr, Suite 521, Pleasanton, CA 94588-3677 | 2010-01-21 |
| 1265761159 | Tina Ventura Glueck | Psychologist | 7901 Stoneridge Dr, Suite 521, Pleasanton, CA 94588-3677 | 2009-12-24 |
| 1700081825 | Hari D Murthy | Psychologist | 7901 Stoneridge Dr, Suite 521, Pleasanton, CA 94588-3677 | 2007-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932786 | Kabafusion, LLC | Durable Medical Equipment & Medical Supplies | 5860 W. Las Positas Blvd, Suite 19, Pleasanton, CA 94588 | 2020-11-02 |
| 1619519691 | Vanessa Baldwin | Behavior Technician | 5828 Stoneridge Mall Road, Suit 205, Pleasanton, CA 94588 | 2019-10-11 |
| 1184187783 | Amanda Singh | Behavior Technician | 1811 Stoneridge Mall Rd Suite 205, Pleasanton, CA 94588 | 2019-04-10 |
| 1891262192 | Virginia Zamora | Behavior Technician | 5820 Stoneridgemall Rd, Suite 205, Pleasanton, CA 94588 | 2018-10-25 |
| 1891275368 | Ixchel N Baltazar | Behavioral Analyst | 520 Stoneridge Mall Rd, Ste. 205, Pleasanton, CA 94588 | 2018-08-15 |
| 1386149409 | Monique Imanii Brown | Behavioral Analyst | 511 Johnson Drive, Pleasanton, CA 94588 | 2018-03-29 |
| 1922509710 | Cierra Marie Barton | Behavioral Analyst | 5820 Stoneridge Mall Road, Suite 205, Pleasanton, CA 94588 | 2018-02-27 |
| 1851800056 | Delisa Simon | Nurse Practitioner | 4439 Stoneridge Dr Ste 110, Pleasanton, CA 94588 | 2017-09-20 |
| 1831611409 | One Health Hospice, Inc. | Hospice Care, Community Based | 7059 Commerce Cir, Suite G, Pleasanton, CA 94588 | 2017-07-14 |
| 1114478641 | Carlos Gavino | Behavior Technician | 5820 Stoneridge Mall Dr, Suite 205, Pleasanton, CA 94588 | 2016-10-19 |
| Find all providers in zip 94588 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346580503 | Amita Saggi | Physician Assistant | 6155 Stoneridge Dr, Pleasanton, CA 94588-3204 | 2013-02-26 |
| 1215169966 | Kila D Nsamenang | Physician Assistant | 310 W Oaklawn Rd, Pleasanton, TX 78064-4033 | 2009-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
| 1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
| 1548867666 | Heba Marzouk Al-shoubaki | Physician Assistant | 633 S Pepper St, Anaheim, CA 92802-1459 | 2020-10-01 |
| 1275140550 | Lisa Lynn Passalacqua | Physician Assistant | 431 7th St, Norco, CA 92860-1671 | 2020-09-30 |
| 1144833989 | Trisha Taylor | Physician Assistant | 10399 Tivoli Way, Yucaipa, CA 92399-6017 | 2020-08-30 |
| 1457963944 | Harlan William Monahan | Physician Assistant | 5210 Del Rio Rd, Sacramento, CA 95822-2519 | 2020-08-18 |
| 1275144313 | Sofia Carmen Bustillo | Physician Assistant | 1709 Coral Pl, Seal Beach, CA 90740-5712 | 2020-08-12 |
| 1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
| 1144830183 | Loc Bao Tran | Physician Assistant | 8937 Emerson Pl, Rosemead, CA 91770-2813 | 2020-08-04 |
| 1558997957 | Sarah Lubinsky | Physician Assistant | 1511 Montana Ave, Santa Monica, CA 90403-1891 | 2020-03-17 |
| Find all providers with the same taxonomy | ||||
| City | PLEASANTON |
| Zip Code | 94588 |
Please comment or provide details below to improve the information on TANYA KOFOED BROSNAN.
| 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.