Tamalpais Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

TAMALPAIS PEDIATRICS

Practice address

5 Bon Air Road
Ste. 105
Larkspur, CA 94939

Phone

(415) 461-0440

Fax

(415) 461-3792

NPI assigned

Mar 7, 2006

Last updated

Jun 3, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nelson Branco, MDNPI 1841270451

Title

Corporate President

Phone

(415) 461-0440

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nelson Branco, MD

  • Pediatrics Physician
  • Larkspur, CA
  • NPI 1841270451
  Authorized official Same address or phone

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1073580320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BON AIR ROAD",
            "address_2": "STE. 105",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "94939",
            "telephone_number": "415-461-0440",
            "fax_number": "415-461-3792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BON AIR ROAD",
            "address_2": "STE. 105",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "94939",
            "telephone_number": "415-461-0440",
            "fax_number": "415-461-3792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMALPAIS PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "BRANCO",
        "authorized_official_first_name": "NELSON",
        "authorized_official_title_or_position": "CORPORATE PRESIDENT",
        "authorized_official_telephone_number": "415-461-0440",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Emma Stuart, FNP
• Sofia Marie-Louise Stuart, ND
• Brian Su, MD
• Andrew Salvador Subido, DDS
• Anita Dominique Szady, M.D.
• Willie Tang, MD
• Cheryl Zappas Tannenbaum, NP
• The Hand & Physical Therapy Center of Marin, PTPC (The Hand & Physical Therapy Center of Marin)
• Alyssa Beth Thompson-Tucker, FNP
• Zachary Tiger, MD

• Pediatrics Physician in Larkspur, CA
• Providers in Larkspur, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.