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

Tanner Cavanaugh

Individual provider Basic Emergency Medical Technician · NPI 1811394976

Tanner Cavanaugh is a Basic Emergency Medical Technician in Modesto, California. Practices as a sole proprietor and works from 2 locations. Licensed in California and Nevada.

Licensed in
CA, NV
In the registry since
2014
Specialties on file
2

Practice location Address checks out

3105 McHenry Ave Ste 101
Modesto, CA 95350-1439
Phone: (209) 575-2700
Show map & directions

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

Additional practice locations (1)

  • 1623 Hospital Loop, Owyhee, NV 89832-1200 — (775) 757-2415

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 59206 (CA)
Basic Emergency Medical Technician Taxonomy 146N00000X · Licence 74381 (NV)

Record details

NPI number1811394976
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 4, 2014
Last updated in NPPESMay 17, 2021
Certification dateMay 17, 2021
Mailing addressPo Box 130, Owyhee, NV 89832

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