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

Tawanna J Bryant

Individual provider Surgical Physician Assistant · NPI 1508035270

Tawanna J Bryant is a Physician Assistant in Colton, California. Qualified in 2007, 19 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
19
Licensed in
CA
In the registry since
2008

Practice location Address checks out

400 N Pepper Ave Dept.general Surgery Mod 3
Colton, CA 92324-1801
Phone: (909) 580-6210
Fax: (909) 580-1363
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA19573 (CA)

Record details

NPI number1508035270
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 26, 2008
Last updated in NPPESNovember 29, 2021
Mailing addressPo Box 670, Redlands, CA 92373-0221

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Colton