Tara Manor Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

TARA MANOR INC.

Practice address

2545 Tara LN
South San Francisco, CA 94080-5114

Phone

(650) 216-9960

Fax

(650) 216-9455

NPI assigned

Dec 4, 2023

Organization subpart

No

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

Authorized official

Name

Donna Marie Veridiano, MD

Title

President

Phone

(650) 216-9960

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1336915016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2893 EL CAMINO REAL STE C",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940614039",
            "telephone_number": "650-216-9960",
            "fax_number": "650-216-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 TARA LN",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940805114",
            "telephone_number": "650-216-9960",
            "fax_number": "650-216-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA MANOR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "VERIDIANO",
        "authorized_official_first_name": "DONNA MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-216-9960",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leitu Kulukulutea Takapu
• Brandon Junhao Tan, PHARMD
• Janet Repane Tanega, DMD
• Angie Tang
• Larry Taormina, PH. D
• Annette Taube, NP
• Jeany Tay, MD
• Yumi Taylor Taylor, MD
• Teamm Tranz, Inc.
• Alexandra Tee, MD

• Nursing Facility/Intermediate Care Facility in South San Francisco, CA
• Providers in South San Francisco, CA by specialty
• Nursing Facility/Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.