Active NPI
Vincent P Tamariz, MD
- Specialist
- West Hollywood, CA
National Provider Identifier
1194776476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G80957
- Practice address
- 1237 Greenacre Ave
West Hollywood, CA 90046-5707 - Phone
- (310) 650-5604
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | G80957 | CA | Primary |
Addresses
Primary practice location
1237 Greenacre Ave
West Hollywood, CA 90046-5707
Mailing address
1237 Greenacre Ave
West Hollywood, CA 90046-5707
Phone (310) 650-5604
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G809570 | Medicaid | CA |
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
- Pediatric Medicine
- Education
- JS Weill Medical College, Cornell University, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 Van Ness Ave
San Francisco, CA 94109-6919
Phone (415) 600-6000
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.16 of 100
- Quality
- 91.91
- Improvement activities
- 40
- Cost
- 79.27
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G80957 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Francisco Emergency Medical Associates | Current | Accepting new patients | |
| Columbia Emergency Medical Group Inc | Specialist | Past | Accepting new patients |
| Emergency Medicine Physicians of Clark Pediatrics McCourt, PLLC | Past | Accepting new patients | |
| Emergency Medicine Physicians of Clark Umc McCourt PLLC | Past | Accepting new patients |
Locations
45 Castro St
San Francisco, CA 94114
Phone (415) 241-5695
1101 Van Ness Ave
San Francisco, CA 94109
Phone (415) 485-8824
Interoperability endpoints
- vtamariz97580@hisp.ehr.sutterhealth.org
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.
-
- Emergency Medicine Physician
- San Francisco, CA
- NPI 1134110661
-
- Emergency Medicine Physician
- Long Beach, CA
- NPI 1871551119
Specialist
-
- Emergency Medicine Physician
- Henderson, NV
- NPI 1568763589
-
- Emergency Medicine Physician
- Las Vegas, NV
- NPI 1427359447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189382400000",
"number": "1194776476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1237 GREENACRE AVE",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900465707",
"telephone_number": "310-650-5604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1237 GREENACRE AVE",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900465707",
"telephone_number": "310-650-5604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAMARIZ",
"first_name": "VINCENT",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2007-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G80957",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G809570",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.