Tassajara Critical Care Group

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

TASSAJARA CRITICAL CARE GROUP

Doing business as

Tassajara Critical Care

Practice address

5401 Norris Canyon Rd Ste 308
San Ramon, CA 94583-5408

Phone

(925) 866-8822

Fax

(925) 866-8323

NPI assigned

May 19, 2021

Organization subpart

No

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

Authorized official

Name

Olga Gomez

Title

Office Administrator

Phone

(925) 866-8822

Specialties & licenses 1

Addresses

Other names 1

• Tassajara Critical Care Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Mount Diablo Medical, Inc

  • Critical Care Medicine (Internal Medicine) Physician
  • San Ramon, CA
  • NPI 1114479961

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mustafa Michael Kazemi, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • San Ramon, CA
  • NPI 1861479768
  NPD

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631836800000",
    "number": "1144894650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 NORRIS CANYON RD STE 308",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945835408",
            "telephone_number": "925-866-8822",
            "fax_number": "925-866-8323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 NORRIS CANYON RD STE 308",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945835408",
            "telephone_number": "925-866-8822",
            "fax_number": "925-866-8323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TASSAJARA CRITICAL CARE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "925-866-8822"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tassajara Critical Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jasmyn Tang
• Kiet Tang
• Sonya N. Taravella, P.A.
• Rachel Tas
• Aricka Tasabia
• Tavallaei, D.M.D., Corporation
• Chelsea Bess Tavill, MOT, OTR/L
• Aarti Tayal, DDS
• Nairobi D Taylor-Harper
• Grace Taylor

• Clinic/Center in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.