Individual provider Active NPI

Tangie Thompson

  • Nurse Practitioner
  • Fairfield, CA
National Provider Identifier
1093094187
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
20983 Issued in CA
Practice address
1200 B Gale Wilson Blvd
Fairfield, CA 94533-3552
Phone
(707) 646-5000
NPI assigned
Aug 8, 2011
Last updated
Mar 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 20983 CA Primary
Registered Nurse 163W00000X 659389 CA

Addresses

Primary practice location

1200 B Gale Wilson Blvd
Fairfield, CA 94533-3552

Mailing address

1200 B Gale Wilson Blvd
Fairfield, CA 94533-3552
Phone (707) 646-5000

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
I20111111000353 CA Practitioner - Nurse Practitioner 0345414223 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northbay Health Medical FoundationGroup PAC ID 3274010871, 207 clinicians
Sutter Valley Medical FoundationGroup PAC ID 9830094515, shared by 24 NPIs, 2,473 clinicians

Practice addresses (Care Compare)

101 Main St
Winters, CA 95694-1930
Phone (707) 646-5500

1200 B Gale Wilson Blvd
Fairfield, CA 94533-3552
Phone (707) 429-3600

2702 Low CT
Fairfield, CA 94534-9771
Phone (707) 432-2600

2720 Low CT
Fairfield, CA 94534-9771
Phone (707) 428-2731

2800 L St
Sacramento, CA 95816-5616

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Current Accepting new patients
Sutter Valley Medical Foundation CurrentSince Feb 1, 2026 Accepting new patients
Cep America - California CurrentSince Oct 2, 2011 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Feb 1, 2026 Accepting new patients
Napa Valley Emergency Medical Group CurrentSince Apr 1, 2016 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Feb 1, 2026 Accepting new patients
Cep America-California CurrentSince Oct 2, 2011 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Feb 1, 2026 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Feb 1, 2026 Accepting new patients
Northbay Health Medical Foundation CurrentSince Jan 1, 2026 Accepting new patients
Northbay Healthcare Group CurrentSince May 28, 2024 Accepting new patients
Northbay Healthcare Group CurrentSince May 28, 2024 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Feb 1, 2026 Accepting new patients
Sutter Regional Medical Foundation Nurse Practitioner Past Accepting new patients

Locations

3901 Lone Tree Way
Antioch, CA 94509
Phone (925) 779-7200

4053 Lone Tree Way
Ste 101
Antioch, CA 94531
Phone (925) 756-3400

8200 Laguna Blvd
Elk Grove, CA 95758
Phone (916) 544-5400

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

1320 Travis Blvd
Ste C
Fairfield, CA 94533
Phone (707) 624-7400

2702 Low Ct
Fairfield, CA 94534
Phone (707) 432-2600

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

250 Bon Air Rd
Kentfield, CA 94904
Phone (415) 464-1350

1409 E Briggsmore Ave
Modesto, CA 95355
Phone (209) 550-4725

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

1000 Trancas St
Napa, CA 94558
Phone (707) 226-2901

795 El Camino Real
#1112
Palo Alto, CA 94301

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

2000 Vale Rd
San Pablo, CA 94806
Phone (510) 235-7000

8011 Don Ave
Stockton, CA 95209
Phone (209) 955-3001

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

1010 Nut Tree Rd
Ste 100B
Vacaville, CA 95687
Phone (707) 646-7999

1679 E Monte Vista Ave
Ste 104
Vacaville, CA 95688
Phone (707) 624-7400

101 Main St
Winters, CA 95694
Phone (530) 795-4123

250 W Main St
Woodland, CA 95695
Phone (916) 668-6100

460 Plumas Blvd
Ste 202
Yuba City, CA 95991
Phone (530) 749-5500

Interoperability endpoints

  • Direct secure messaging: tlewis154466@hisp.ehr.sutterhealth.org

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1093094187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 B GALE WILSON BLVD",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945333552",
            "telephone_number": "707-646-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 B GALE WILSON BLVD",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945333552",
            "telephone_number": "707-646-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "TANGIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-08",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "20983",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "659389",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

Verify at the official NPI Registry.