Individual provider Active NPI

Danielle Marie Tartar, MD,PHD

  • Dermatology Physician
  • Sacramento, CA
National Provider Identifier
1063850840
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A132577 Issued in CA
Practice address
3301 C Street
Suite 1400
Sacramento, CA 95816
Phone
(916) 734-6055
NPI assigned
Jun 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A132577 CA Primary

Addresses

Primary practice location

3301 C Street
Suite 1400
Sacramento, CA 95816

Mailing address

3301 C Street
Suite 1400
Sacramento, CA 95816
Phone (916) 734-6055

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170801001972 CA Practitioner - Dermatology 6800167461 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Missouri, Columbia School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians

Practice addresses (Care Compare)

2440 W Covell Blvd
Davis, CA 95616-5671
Phone (530) 747-3000

3301 C St
Sacramento, CA 95816-3300
Phone (916) 827-7463

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as group
Quality
64.8
Promoting interoperability
100
Improvement activities
40
Cost
68.65

Merit-based Incentive Payment System (MIPS)

Final score
90.11 of 100Reported as group
Quality
86.24
Promoting interoperability
100
Improvement activities
40
Cost
78.35

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision14
Removal of skin lesions954
Removal or shaving of skin growth39
Skin biopsy408

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
A132577CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Dec 31, 2017 Accepting new patients
Regents of the University of California CurrentSince Dec 31, 2017 Accepting new patients
Regents of the Univ of Ca Dermatology CurrentSince Jul 20, 2017 Accepting new patients
Regents of the Univ of Ca CurrentSince Jul 20, 2017 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Essent PRMC LP Past Accepting new patients

Locations

2440 W Covell Blvd
Davis, CA 95616
Phone (530) 668-2646

2660 W Covell Blvd
Davis, CA 95616
Phone (530) 747-3000

251 Turn Pike Dr
Folsom, CA 95630
Phone (916) 985-9300

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

3301 C St
Ste 1400
Sacramento, CA 95816
Phone (916) 734-6111

77 Cadillac Dr
Ste 240
Sacramento, CA 95825
Phone (916) 569-4400

2400 Del Paso Rd
Ste 145
Sacramento, CA 95834
Phone (916) 928-3940

3301 C St
Ste 1300
Sacramento, CA 95816
Phone (916) 734-6111

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

500 University Ave
Ste 220
Sacramento, CA 95825
Phone (916) 286-8700

4860 Y St
Ste 200
Sacramento, CA 95817
Phone (916) 734-3761

3301 C St
Sacramento, CA 95816
Phone (916) 734-6111

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1063850840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 C STREET",
            "address_2": "SUITE 1400",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95816",
            "telephone_number": "916-734-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 C STREET",
            "address_2": "SUITE 1400",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95816",
            "telephone_number": "916-734-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARTAR",
        "first_name": "DANIELLE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD,PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-13",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A132577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.