Organization Active NPI

Tarantino Medical Group, Inc.

  • Family Medicine Physician
  • Walnut Creek, CA
National Provider Identifier
1275355976
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TARANTINO MEDICAL GROUP, INC.
Practice address
120 La Casa Via Ste 106
Walnut Creek, CA 94598-3092
Phone
(925) 448-2610
Fax
(925) 319-6253
NPI assigned
Oct 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Authorized official

Name
Dr. Tara Lauren Tarantino, DO
Title
Owner
Phone
(925) 448-2610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

120 La Casa Via Ste 106
Walnut Creek, CA 94598-3092

Mailing address

3308 Valley Vista Rd
Walnut Creek, CA 94598-3944
Phone (925) 272-8084

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1275355976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3308 VALLEY VISTA RD",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983944",
            "telephone_number": "925-272-8084",
            "fax_number": "925-448-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LA CASA VIA STE 106",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983092",
            "telephone_number": "925-448-2610",
            "fax_number": "925-319-6253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARANTINO MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-25",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "TARANTINO",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-448-2610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.