Tara Mostofi, PAC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

PA17957 Issued in CA

Practice address

370 N. Wiget Lane
Suite 210
Walnut Creek, CA 94598-2452

Phone

(925) 935-6252

Fax

(925) 930-0942

NPI assigned

May 11, 2007

Last updated

Mar 13, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Allergy and Asthma Medical Group of the Bay Area IncGroup PAC ID 6507758224, 20 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.95 of 100Reported as group

Quality

99.17

Promoting interoperability

98

Improvement activities

40

Cost

55.67

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: tmostofi29454@ehr.johnmuirhealth.com

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

• Allergy & Asthma Medical Group of the Bay Area Inc

  dba Allergy & Asthma Medical Group of Diablo Valley Inc

  • Allergy & Immunology Physician
  • Walnut Creek, CA
  • NPI 1871550590
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1073728051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 N. WIGET LANE",
            "address_2": "SUITE 210",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982452",
            "telephone_number": "925-935-6252",
            "fax_number": "925-930-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 N. WIGET LANE",
            "address_2": "SUITE 210",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982452",
            "telephone_number": "925-935-6252",
            "fax_number": "925-930-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSTOFI",
        "first_name": "TARA",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "PA17957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norman Moscow
• Melissa Jennifer Moseman, BCBA
• Anneke Moser
• Daniel M Moskowitz, LCSW
• Zeinab Mossadeghi
• Daniela Mota Vega
• Zahi Michael Mouchabeck, PHARM.D
• Tasnim Diaf Moulton, MS
• Jasmin Moultrie, NP
• Alyssa J Mount

• Family Medicine Physician in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.