Rena Tacdol, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A96693 Issued in CA

Practice address

2636 Telegraph Ave
Berkeley, CA 94704-3322

Phone

(510) 841-1647

Fax

(510) 848-4924

NPI assigned

Sep 26, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Doctors on Duty Medical Group, Inc

  • Urgent Care Clinic/Center
  • Salinas, CA
  • NPI 1568465466
  NPD (past)
• Sutter Bay Medical Foundation

  • Multi-Specialty Clinic/Center
  • Palo Alto, CA
  • NPI 1013950807
  NPD (past)
• Thomas K. Stern, M.D. P.C.

  • Family Medicine Physician
  • Berkeley, CA
  • NPI 1730145699
  NPD (past)
• Timothy a Fitzer MD Inc a Professional Medical Corporation

  • Family Medicine Physician
  • Berkeley, CA
  • NPI 1821104100
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1154422533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2636 TELEGRAPH AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947043322",
            "telephone_number": "510-841-1647",
            "fax_number": "510-848-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2636 TELEGRAPH AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947043322",
            "telephone_number": "510-841-1647",
            "fax_number": "510-848-4924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACDOL",
        "first_name": "RENA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A96693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "A96693",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynda Anne Marie Szczech, M.D.
• Adele Eva Szilardi, CNM, WHNP
• Anne Szostek, CF-SLP
• Cristina Ta, OD
• Alexa Tabb, LCSW
• Yuriko Tada, MA, AMFT
• Nicole Taggares
• Linda L Taggart, LCSW
• Hassan Taheri, D.D.S.
• Jennifer Ann Tai, MSW, PPSC

• Family Medicine Physician in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.