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

Tammy Ezinne Onu

Individual provider Physician Assistant · NPI 1760997951

Tammy Ezinne Onu is a Physician Assistant in Clearlake, California. Qualified in 2017, 9 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2017

Practice location Address checks out

15230 Lakeshore Dr
Clearlake, CA 95422-8107
Phone: (707) 995-4500
Fax: (707) 995-2401
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 121 Driftwood Cv, Hercules, CA 94547-2643 — (510) 703-6501

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 55190 (CA)

Record details

NPI number1760997951
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 9, 2017
Last updated in NPPESDecember 29, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Clearlake