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

Tommy Petch Eagatatt

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1306699418

Tommy Petch Eagatatt is a Psychiatric/Mental Health Registered Nurse in Costa Mesa, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

301 Victoria St
Costa Mesa, CA 92627-7131
Phone: (949) 574-3365
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence 95231640 (CA)

Record details

NPI number1306699418
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 9, 2024
Last updated in NPPESApril 9, 2024
Certification dateApril 8, 2024
Mailing address301 Victoria St, Costa Mesa, CA 92627-1995

Other providers in Costa Mesa