Active NPI
Talia Ruth Firestein, MD
- Family Medicine Physician
- Antioch, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD60572762
- Practice address
- 2335 Country Hills Dr
Antioch, CA 94509 - Phone
- (925) 608-8550
- Fax
- (925) 608-8559
- NPI assigned
- Mar 21, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A141785 | CA | |
| Family Medicine Physician | 207Q00000X | MD60572762 | WA | Primary |
Addresses
Primary practice location
2335 Country Hills Dr
Antioch, CA 94509
Mailing address
5216 Point Fosdick Dr # 102
Gig Harbor, WA 98335-0037
Phone (253) 530-6900
Other practice location 1
5216 Point Fosdick Dr # 102
Gig Harbor, WA 98335-0037
Phone (253) 530-6900
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- 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
- Family Practice
- Education
- Warren Alpert Medical School of Brown University, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 Pottery Ave
Port Orchard, WA 98366-3711
Phone (360) 895-5000
209 Martin Luther King Jr Way
Tacoma, WA 98405-4265
Phone (253) 596-3300
9505 S Steele St
Tacoma, WA 98444-1858
Phone (253) 597-6800
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A141785 | CA | MD | Family Medicine Physician |
| MD60572762 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of Washington | Family Medicine | Current | Accepting new patients |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Family Medicine | Current | Accepting new patients |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients |
Locations
5216 Point Fosdick Dr
#102
Gig Harbor, WA 98335
Phone (253) 530-6900
125 16th Ave E
#545
Seattle, WA 98112
Phone (206) 326-3530
200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530
9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800
Interoperability endpoints
- tfirestein136274@ghc.direct-ci.net
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1396810701
-
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1386935351
-
- Multi-Specialty Clinic/Center
- Renton, WA
- NPI 1669619870
Family Medicine
-
- Family Medicine Physician
- Gig Harbor, WA
- NPI 1851917074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627862400000",
"number": "1184966707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5216 POINT FOSDICK DR # 102",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983350037",
"telephone_number": "253-530-6900",
"fax_number": "253-530-6901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2335 COUNTRY HILLS DR",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "94509",
"telephone_number": "925-608-8550",
"fax_number": "925-608-8559"
}
],
"practiceLocations": [
{
"address_1": "5216 Point Fosdick Dr # 102",
"address_purpose": "LOCATION",
"city": "Gig Harbor",
"state": "WA",
"postal_code": "983350037",
"country_code": "US",
"telephone_number": "253-530-6900",
"fax_number": "253-530-6901",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FIRESTEIN",
"first_name": "TALIA",
"middle_name": "RUTH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-21",
"last_updated": "2021-08-02",
"certification_date": "2021-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A141785",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD60572762",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "5216 Point Fosdick Dr # 102",
"city": "Gig Harbor",
"state": "WA",
"country_code": "US",
"postal_code": "983350037",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Antioch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.