Individual provider Active NPI

Rebecca Tanenbaum, MD

  • Ophthalmology Physician
  • San Francisco, CA
National Provider Identifier
1225610462
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A201444 Issued in CA
Practice address
490 Illinois St FL 5
San Francisco, CA 94143-2510
Phone
(415) 353-2020
NPI assigned
Apr 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 390200000X IL
Ophthalmology Physician 207W00000X A201444 CA Primary

Addresses

Primary practice location

490 Illinois St FL 5
San Francisco, CA 94143-2510

Mailing address

490 Illinois St FL 5
San Francisco, CA 94143-2510

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250715000572 CA Practitioner - Ophthalmology 9739581174 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
390200000XILMDEmergency Medicine Physician
A201444CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City & County of San Francisco Current Accepting new patients
City and County of San Francisco CurrentSince Jul 14, 2025 Accepting new patients
UCSF Medical Group Business Services Ophthalmology CurrentSince Jun 30, 2025 Accepting new patients
University of California SFGH Medical Group CurrentSince Jun 1, 2025 Accepting new patients
City & County of San Francisco CurrentSince Jul 14, 2025 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 30, 2025 Accepting new patients
University of California San Francisco Current Accepting new patients
University of California San Francisco CurrentSince Jun 30, 2025 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
University of California SFGH Medical Group Ophthalmology CurrentSince Jun 1, 2025 Accepting new patients
Regents of the University of California CurrentSince Jun 30, 2025 Accepting new patients
University of California San Francisco CurrentSince Jun 30, 2025 Accepting new patients
University of California San Francisco Medical Center PastSince Jul 9, 2025 Accepting new patients

Locations

747 52nd St
Oakland, CA 94609
Phone (510) 428-3070

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

490 Illinois St
Fl 5
San Francisco, CA 94143
Phone (415) 353-2020

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

1825 4th St
Fl 5
San Francisco, CA 94143
Phone (415) 353-2101

1001 Potrero Ave
Rm 3A
San Francisco, CA 94110
Phone (415) 206-4632

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

Interoperability endpoints

  • Direct secure messaging: rtanenbaum422423@direct-ucsfmedicalcenter.org

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1225610462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 ILLINOIS ST FL 5",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 ILLINOIS ST FL 5",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432510",
            "telephone_number": "415-353-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANENBAUM",
        "first_name": "REBECCA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-27",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "390200000X",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A201444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.