Active NPI
Tamana Mehta
- Social Worker
- Santa Rosa, CA
National Provider Identifier
1336998749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 116289
- Practice address
- 50 Santa Rosa Ave
Santa Rosa, CA 95404-4908 - Phone
- (310) 540-7676
- NPI assigned
- May 16, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 116289 | CA | Primary |
Addresses
Primary practice location
50 Santa Rosa Ave
Santa Rosa, CA 95404-4908
Mailing address
718 Avenue D
Redondo Beach, CA 90277-4924
Phone (310) 483-6967
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739318400000",
"number": "1336998749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 AVENUE D",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902774924",
"telephone_number": "310-483-6967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 SANTA ROSA AVE",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954044908",
"telephone_number": "310-540-7676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHTA",
"first_name": "TAMANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-16",
"last_updated": "2025-02-12",
"certification_date": "2025-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "116289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.