TAMMI ELAINE GROOM (PA-C) – Physician Assistant, NPI 1952472151

TAMMI ELAINE GROOM (PA-C) is a healthcare provider. based in Fremont, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 020093 (NY). The NPI Number for TAMMI ELAINE GROOM (PA-C) is 1952472151

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
TAMMI ELAINE GROOM (PA-C)
NPI
1952472151
Phone
(510) 794-5320
Address
2557 MOWRY AVE STE 34
Enumeration Date
11 November 2006
Last Update Date
25 September 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3104235000
Graduation Year
1996 (30 years ago)
PAC ID
3870657190
Group Practice PAC ID
0446169114
Professional Enrollment ID
I20090202000379
Address ID
CA900481804WE8700XBLVD300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

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Provider Addresses for TAMMI ELAINE GROOM (PA-C)

  • 34, Mowry Avenue, Niles Junction, Niles District, Fremont, Alameda County, California, 94536, United States

    FREMONT, CA 945381614

    Phone: (510) 794-5320

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-11-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090202000379IPhysician AssistantCATBD
I20161130001961IPhysician AssistantNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99292Critical care, each additional 30 minutes5528$0
99291Critical care, first 30-74 minutes4739$0
View full utilization report →

Insurance plans in this area (ZIP 94538)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446169114View full group profile
NameSpecialtyState
Critical Care (Intensivists), General SurgeryCA
-WA
Nurse PractitionerCA
Physician AssistantCA
Clinical PsychologistCA
Nurse PractitionerCA
N E U R O S U R G E R YOH
Nurse PractitionerCA
General Surgery, Critical Care (Intensivists)CA
Internal MedicineCA

Reviews

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Frequently asked questions

Does TAMMI ELAINE GROOM (PA-C) have a public NPI I can cite?
Public records show TAMMI ELAINE GROOM (PA-C) under NPI 1952472151.
Is TAMMI ELAINE GROOM (PA-C)'s NPI status active today?
Active status means TAMMI ELAINE GROOM (PA-C)'s NPI record is not deactivated in the public file.
What does the directory say TAMMI ELAINE GROOM (PA-C) does?
Insurance directories may phrase it differently, but here TAMMI ELAINE GROOM (PA-C) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to TAMMI ELAINE GROOM (PA-C)?
The directory associates TAMMI ELAINE GROOM (PA-C) with Fremont, California. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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