Individual provider Active NPI

William Reeves Tatomer, MD

  • Psychiatry Physician
  • San Mateo, CA
National Provider Identifier
1104862689
Registry record updated Apr 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C35537 Issued in CA
Practice address
101 S San Mateo Dr
Suite 300
San Mateo, CA 94401-3819
Phone
(650) 342-4442
Fax
(650) 342-8816
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X C35537 CA Primary

Addresses

Primary practice location

101 S San Mateo Dr
Suite 300
San Mateo, CA 94401-3819

Mailing address

101 S San Mateo Dr
Suite 300
San Mateo, CA 94401-3819
Phone (650) 342-4442

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
I20100623000440 CA Practitioner - Psychiatry 2769513506 Practice locations: San Mateo, CA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Virginia School of Medicine, 1971
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

101 S San Mateo Dr
Suite 300
San Mateo, CA 94401-3819

101 S San Mateo Dr
Suite 300
San Mateo, CA 94401-3844
Phone (650) 342-4442

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C35537CAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271376000000",
    "number": "1104862689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S SAN MATEO DR",
            "address_2": "SUITE 300",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013819",
            "telephone_number": "650-342-4442",
            "fax_number": "650-342-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S SAN MATEO DR",
            "address_2": "SUITE 300",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013819",
            "telephone_number": "650-342-4442",
            "fax_number": "650-342-8816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATOMER",
        "first_name": "WILLIAM",
        "middle_name": "REEVES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2010-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C35537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.