Individual provider Active NPI

Tenzin Jampa Chodon, NURSE PRACTITIONER

  • Acute Care Nurse Practitioner
  • Oakland, CA
National Provider Identifier
1053063073
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95012730 Issued in CA
Practice address
610 16TH St
Oakland, CA 94612-1282
Phone
(510) 735-5005
NPI assigned
Jan 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95012730 CA Primary

Addresses

Primary practice location

610 16TH St
Oakland, CA 94612-1282

Mailing address

2316 Bonar St
Berkeley, CA 94702-2019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220725001730 CA Practitioner - Nurse Practitioner 6103207907 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Jun 10, 2022 Accepting new patients
University of California San Francisco CurrentSince Jun 10, 2022 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 10, 2022 Accepting new patients
UCSF Medical Group Business Services Acute Care CurrentSince Jun 10, 2022 Accepting new patients
University Anesthesia Medical Group CurrentSince Jun 10, 2022 Accepting new patients
UCSF Medical Center Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

1500 Owens St
Ste 300
San Francisco, CA 94158
Phone (415) 514-6234

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

Interoperability endpoints

  • Direct secure messaging: tchodon99584@direct-ucsfmedicalcenter.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1053063073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 BONAR ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947022019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 16TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121282",
            "telephone_number": "510-735-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHODON",
        "first_name": "TENZIN",
        "middle_name": "JAMPA",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95012730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.