NPIMap

Individual provider Active NPI

Azita Taghavy, M.D.

  • General Acute Care Hospital
  • Greenbrae, CA
National Provider Identifier
1295980431
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Practice address
250 Bon Air Rd,
Marin General Hospital
Greenbrae, CA 94904-2000
Phone
(510) 230-3320
NPI assigned
Dec 1, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A114414 CA
General Acute Care Hospital 282N00000X CA Primary

Addresses

Primary practice location

250 Bon Air Rd,
Marin General Hospital
Greenbrae, CA 94904-2000

Mailing address

250 Bon Air Rd
Greenbrae, CA 94904-1702
Phone (510) 230-3320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110802000375 CA Practitioner - Internal Medicine 1850560236 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

21 Tamal Vista Blvd
Suite 110
Corte Madera, CA 94925-1122
Phone (415) 924-5010

Hospital & facility affiliations

  • Sutter Care at Home Home health agency, Novato, CA, CCN 057031
  • Accentcare Home Health of California, Inc Home health agency, San Ramon, CA, CCN 057517
  • Allegro Home Health, Inc Home health agency, Larkspur, CA, CCN 757057
  • Gateway Home Health Corp. Home health agency, San Ramon, CA, CCN 053129
  • Marinhealth Medical Center Hospital, Greenbrae, CA, CCN 050360
  • Novato Community Hospital Hospital, Novato, CA, CCN 050131
  • Sonoma Valley Hospital Hospital, Sonoma, CA, CCN 050090

Merit-based Incentive Payment System (MIPS)

Final score
17.24 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
57.46

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Marin Hospitalist Medical Group, Inc. Single Specialty CurrentSince May 21, 2011 Accepting new patients
Azita Taghavy - a Professional Corp Single Specialty CurrentSince Jul 1, 2021 Accepting new patients
Marin General Hospital Single Specialty Past Accepting new patients

Locations

21 Tamal Vista Blvd
Ste 110
Corte Madera, CA 94925
Phone (415) 924-5010

250 Bon Air Rd
Rm 3209
Greenbrae, CA 94904
Phone (415) 925-7545

250 Bon Air Rd
Kentfield, CA 94904
Phone (415) 464-1350

Interoperability endpoints

  • Direct secure messaging: ataghavy238139@hisp.ehr.sutterhealth.org

Organizations & group practices 3

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1295980431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 BON AIR RD",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949041702",
            "telephone_number": "510-230-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BON AIR RD,",
            "address_2": "MARIN GENERAL HOSPITAL",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042000",
            "telephone_number": "510-230-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGHAVY",
        "first_name": "AZITA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-01",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A114414",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbrae, CA

Sources for this page

Verify at the official NPI Registry.