Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tamara Ito, PA-C

Individual provider Physician Assistant · NPI 1194688812

Tamara Ito, PA-C is a Physician Assistant in Vallejo, California. Qualified in 2025, 1 year ago. Registered with an NPI since 2025.

Years since qualifying
1
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

100 Hospital Dr Ste 110
Vallejo, CA 94589-2577
Phone: (707) 551-3300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1194688812
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 9, 2025
Last updated in NPPESJanuary 14, 2026
Certification dateJanuary 14, 2026
Mailing address713 Linwood St, Vacaville, CA 95688-3524

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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