Individual provider · Type 1 NPI

Tammi Elaine Groom, PA-C

Surgical Physician Assistant · Fresno, CA

NPI number 1952472151 Active

Practice location

2823 Fresno St
Fresno, CA 93721-1324

Call (559) 443-2682 Map

Fax (559) 443-2681

Mailing address

2625 E Divisadero St
Fresno, CA 93721-1431

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X13937 (CA)
Surgical Physician Assistant Primary 363AS0400X13937 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1952472151

Tammi Elaine Groom, PA-C's National Provider Identifier is 1952472151, issued on Nov 11, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fresno, CA. The record was last updated on Aug 11, 2026.