Active NPI
Tina Molumphy, MD
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Los Gatos, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- A60923
- Practice address
- 340 Dardanelli LN Ste 10
Los Gatos, CA 95032-1418 - Phone
- (408) 412-8100
- Fax
- (408) 412-8499
- NPI assigned
- Jul 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | A60923 | CA | Primary |
Addresses
Primary practice location
340 Dardanelli LN Ste 10
Los Gatos, CA 95032-1418
Mailing address
851 Fremont Ave.
Suite 109
Los Altos, CA 94024-5620
Phone (650) 941-1040
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Tulane University School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2405 Shadelands Dr
Walnut Creek, CA 94598-2444
Phone (925) 939-8585
2625 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone (925) 939-8585
340 Dardanelli LN
Suite 10
Los Gatos, CA 95032-1418
Phone (408) 412-8100
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A60923 | CA | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden State Orthopedics & Spine | Current | Accepting new patients | |
| Orthonorcal, Inc. | Current | Accepting new patients | |
| Golden State Orthopedics & Spine | Current | Accepting new patients | |
| Orthonorcal Inc | Current | Accepting new patients | |
| Golden State Orthopedics & Spine | Current | Accepting new patients | |
| Golden State Orthopedics & Spine | Past | Accepting new patients | |
| Good Samaritan Hospital, L.P. | Past | Accepting new patients | |
| County of Santa Clara | Past | Accepting new patients | |
| El Camino Hospital | Past | Accepting new patients |
Locations
340 Dardanelli Ln
Ste 10
Los Gatos, CA 95032
Phone (408) 412-8100
340 Dardanelli Ln
Ste 102
Los Gatos, CA 95032
Phone (408) 412-8131
340 Dardanelli Ln
Ste 108
Los Gatos, CA 95032
2405 Shadelands Dr
Walnut Creek, CA 94598
Phone (615) 930-0820
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- tina.molumphy.p1@direct.orthonorcal.nextgenshare.com
- tina.molumphy.p2@direct.muirortho.nextgenshare.com
Organizations & group practices 9
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.
-
- Orthopaedic Surgery Physician
- Walnut Creek, CA
- NPI 1972552990
-
- Orthopaedic Surgery Physician
- Los Gatos, CA
- NPI 1124398235
-
- Orthopaedic Surgery Physician
- San Jose, CA
- NPI 1245021401
-
- Orthopaedic Surgery Physician
- Morgan Hill, CA
- NPI 1558014993
-
- Orthopaedic Surgery Physician
- Capitola, CA
- NPI 1518412659
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
-
- General Acute Care Hospital
- Mountain View, CA
- NPI 1093712374
-
- Orthopaedic Surgery Physician
- San Francisco, CA
- NPI 1457004897
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1376595777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699228800000",
"number": "1124057930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "851 FREMONT AVE.",
"address_2": "SUITE 109",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940245620",
"telephone_number": "650-941-1040",
"fax_number": "650-941-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 DARDANELLI LN STE 10",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950321418",
"telephone_number": "408-412-8100",
"fax_number": "408-412-8499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLUMPHY",
"first_name": "TINA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-02",
"last_updated": "2023-11-06",
"certification_date": "2023-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "CA",
"license": "A60923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Gatos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.