Basic Information
Provider Information
NPI: 1922062041
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TOMLINSON
FirstName: ANN
MiddleName: ELIZABETH
NamePrefix: MS.
NameSuffix:  
Credential: CRNA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 210 N TUSTIN AVE
Address2:  
City: SANTA ANA
State: CA
PostalCode: 927053807
CountryCode: US
TelephoneNumber: 8008837243
FaxNumber: 7146471245
Practice Location
Address1: 2400 E 4TH ST
Address2:  
City: NATIONAL CITY
State: CA
PostalCode: 919502026
CountryCode: US
TelephoneNumber: 6194704321
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/14/2006
LastUpdateDate: 08/04/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X2775CAN Allopathic & Osteopathic PhysiciansAnesthesiology 
367500000X2775CAY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


Home