NPIMap

Individual provider Active NPI

David John Tate, MD

  • Radiation Oncology Physician
  • Saint Helena, CA
National Provider Identifier
1336123504
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
G75355 Issued in CA
Practice address
10 Woodland Rd
Saint Helena, CA 94574-9554
Phone
(707) 967-5721
Fax
(707) 967-5722
NPI assigned
Dec 1, 2005
Last updated
May 1, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X G75355 CA Primary

Addresses

Primary practice location

10 Woodland Rd
Saint Helena, CA 94574-9554

Mailing address

965 Stonecastle LN
Santa Rosa, CA 95405-5512
Phone (707) 498-9095

Other identifiers 1

IdentifierTypeStateIssuer
00G753550MedicaidCA

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
I20070324000091 CA Practitioner - Radiation Oncology 5092819425 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Virginia School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St. Helena HospitalGroup PAC ID 8729059878, 85 clinicians

Practice addresses (Care Compare)

10 Woodland Rd
Saint Helena, CA 94574-9554
Phone (707) 963-3611

1020 Nut Tree Rd
Suite 390
Vacaville, CA 95687-4100
Phone (707) 624-8000

6 Woodland Rd
Suite 202
Saint Helena, CA 94574-9501
Phone (707) 968-0670

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75355CAMDPharmacist
G75355CAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Radiation Oncology, Inc Radiation Oncology Current Accepting new patients
St. Helena Hospital CurrentSince Jul 1, 2018 Accepting new patients
Northbay Healthcare Group CurrentSince Jan 2, 2019 Accepting new patients
Northbay Healthcare Group CurrentSince Jan 2, 2019 Accepting new patients
St. Helena Hospital CurrentSince Jul 1, 2018 Accepting new patients
Adventist Health Clearlake Hospital Inc. Past Accepting new patients
Redwood Regional Medical Group Inc Radiation Oncology Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
SRM Alliance Hospital Services Past Accepting new patients

Locations

913 Washington St
Calistoga, CA 94515
Phone (707) 942-0844

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 261-7821

6 Woodland Rd
Ste 202
Saint Helena, CA 94574
Phone (707) 963-5294

821 Saint Helena Hwy S
#208
Saint Helena, CA 94574

999 Adams St
Ste 106
Saint Helena, CA 94574
Phone (707) 963-4997

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

1020 Nut Tree Rd
Ste 390
Vacaville, CA 95687
Phone (707) 624-8000

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1336123504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 STONECASTLE LN",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954055512",
            "telephone_number": "707-498-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WOODLAND RD",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945749554",
            "telephone_number": "707-967-5721",
            "fax_number": "707-967-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "DAVID",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "G75355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G753550",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Helena, CA

Sources for this page

Verify at the official NPI Registry.