Individual provider Active NPI

Susan Tilma

  • Family Nurse Practitioner
  • Menlo Park, CA
National Provider Identifier
1174497408
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F07251173 Issued in CA
Practice address
610 Gilbert Ave Apt 28
Menlo Park, CA 94025-2737
Phone
(650) 492-9429
NPI assigned
Sep 30, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X F07251173 CA Primary

Addresses

Primary practice location

610 Gilbert Ave Apt 28
Menlo Park, CA 94025-2737

Mailing address

610 Gilbert Ave Apt 28
Menlo Park, CA 94025-2737
Phone (650) 492-9429

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251113001170 CA Practitioner - Nurse Practitioner 1759872120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geriatrics Care Solution IncGroup PAC ID 7618416512, 7 clinicians

Practice addresses (Care Compare)

318 Main St
Unit 5J
San Francisco, CA 94105-2159
Phone (617) 510-7972

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F07251173CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatrics Care Solution Inc Single Specialty CurrentSince Sep 1, 2025 Accepting new patients

Locations

2043 19th Ave
San Francisco, CA 94116
Phone (415) 661-8787

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1759190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1174497408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 GILBERT AVE APT 28",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940252737",
            "telephone_number": "650-492-9429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 GILBERT AVE APT 28",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940252737",
            "telephone_number": "650-492-9429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILMA",
        "first_name": "SUSAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-30",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "F07251173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

Verify at the official NPI Registry.