Provider Demographics
NPI:1992405260
Name:TONGSON, MARIA CARMINA CLARA POSADAS (FNP-C, RN)
Entity type:Individual
Prefix:
First Name:MARIA CARMINA CLARA
Middle Name:POSADAS
Last Name:TONGSON
Suffix:
Gender:F
Credentials:FNP-C, RN
Other - Prefix:
Other - First Name:CARMINA
Other - Middle Name:
Other - Last Name:TONGSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP-C, RN
Mailing Address - Street 1:105 N BASCOM AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-1811
Mailing Address - Country:US
Mailing Address - Phone:408-993-1500
Mailing Address - Fax:
Practice Address - Street 1:105 N BASCOM AVE STE 202
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-1811
Practice Address - Country:US
Practice Address - Phone:408-993-1500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-06
Last Update Date:2025-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95279482163W00000X
CA95028653363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse