Tanja V. Crockett in San Diego - Family Medicine
Tanja V. Crockett - NPI 1477658037
Tanja V. Crockett is a Family Medicine in San Diego, California. Tanja V. Crockett practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Tanja V. Crockett is 1477658037. The last update date is 2016-12-07.
Tanja V. Crockett's current location address is 10790 Rancho Bernardo Rd, San Diego, California. You can contact this provider via phone number 8587649081. The mailing address for Tanja V. Crockett is 10790 Rancho Bernardo Rd, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tanja V. Crockett |
|---|---|
| Address | 10790 Rancho Bernardo Rd, San Diego, California |
| Phone Number | 8587649081 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1477658037 |
|---|---|
| Provider Enumeration Date | 2006-09-14 |
| Last Updated Date | 2016-12-07 |
Provider Mailing Address Detail
| Address | 10790 Rancho Bernardo Rd |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921275705 |
| Phone Number | 8587649081 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | A75352 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A753520 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Tanja V. Crockett by the Centers for Medicare & Medicaid Services?
The Tanja V. Crockett has been issued the NPI (National Provider Identifier) 1477658037 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Tanja V. Crockett?
The Tanja V. Crockett is physically situated at 10790 Rancho Bernardo Rd, in the city of San Diego, state of CA, with the postal code 921275705.
What is the Tanja V. Crockett's area of specialization and corresponding taxonomy classification?
The Tanja V. Crockett's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1477658037 to Tanja V. Crockett?
The Centers for Medicare & Medicaid Services originally issued the 1477658037 to Tanja V. Crockett on 2006-09-14.
As of what date was the information pertaining to Tanja V. Crockett, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Tanja V. Crockett, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-12-07.