Savannah Marie Tadin, ARNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

H142773 Issued in IA

Practice address

8851 Center Dr Ste 505
La Mesa, CA 91942-3059

Phone

(858) 810-8000

NPI assigned

Mar 4, 2016

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

Other names 1

• Savannah Hamilton Former name

Medicare fee-for-service enrollment

Enrolled in CA, NE2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Balboa Nephrology Medical Group, Inc.

  • Nephrology Physician
  • San Diego, CA
  • NPI 1316997505
  Medicare reassignment NPD
• Box Butte General Hospital

  • Critical Access Hospital
  • Alliance, NE
  • NPI 1811929060
  Medicare reassignment NPD
• Box Butte General Hospital

  dba Greater Nebraska Medical & Surgical Services - Alliance

  • Clinic/Center
  • Alliance, NE
  • NPI 1871652453
  Medicare reassignment NPD
• Teledigm Physician Services, LLC

  • Specialist
  • Lincoln, NE
  • NPI 1548667256
  Medicare reassignment NPD
• Balboa Nephrology Medical Group,Inc.

  dba San Diego Access and Surgery Center

  • Ambulatory Surgical Clinic/Center
  • San Diego, CA
  • NPI 1598276404
  NPD
• Box Butte General Hospital

  • Critical Access Hospital Clinic/Center
  • Alliance, NE
  • NPI 1346309929
  NPD
• Box Butte General Hospital

  dba Greater Nebraska Medical & Surgical Services - Hemingford

  • Rural Health Clinic/Center
  • Hemingford, NE
  • NPI 1609944388
  NPD
• Southeast Iowa Regional Medical Center, Inc.

  dba Southeast Iowa Regional Medical Center

  • General Practice Physician
  • West Burlington, IA
  • NPI 1164433884
  NPD (past)

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1093175994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4831 OCANA PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921242444",
            "telephone_number": "740-243-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8851 CENTER DR STE 505",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423059",
            "telephone_number": "858-810-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5445 Avenue O",
            "address_purpose": "LOCATION",
            "city": "Fort Madison",
            "state": "IA",
            "postal_code": "526279611",
            "country_code": "US",
            "telephone_number": "319-372-6530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TADIN",
        "first_name": "SAVANNAH",
        "middle_name": "MARIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-04",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IA",
            "license": "H142773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAVANNAH",
            "last_name": "HAMILTON",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Synergy Orthopedic Specialists, Inc
• Synergy Orthopedic Specialists, Inc.
• Synergy Orthopedic Specialists, Inc.
• Ta Gereb Orthodontics, Inc.
• Angel Raymond Taboada, RCP RRT
• Lissa Taitano, PT, DPT
• Sara Jeanne-Arellano Taitingfong
• Gloria Elysia Takeda, MFTI
• Jennifer Ngai Yen Tam, O.D.
• Mary Tamborski, LMFT

• Gerontology Nurse Practitioner in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Gerontology Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.