Individual provider Active NPI

Robert Tamblin, NP

  • Adult Health Nurse Practitioner
  • Brisbane, CA
National Provider Identifier
1356891741
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
95005175 Issued in CA
Practice address
8000 Marina Blvd
Brisbane, CA 94005-1840
Phone
(415) 514-3577
Fax
(415) 514-0702
NPI assigned
Oct 10, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X 95005175 CA
Adult Health Nurse Practitioner 363LA2200X 95005175 CA Primary

Addresses

Primary practice location

8000 Marina Blvd
Brisbane, CA 94005-1840

Mailing address

8000 Marina Blvd
Brisbane, CA 94005-1840
Phone (415) 514-3577

Other identifiers 1

IdentifierTypeStateIssuer
95005175MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220415000807 CA Practitioner - Nurse Practitioner 1456605906 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regents of the University of CaliforniaGroup PAC ID 4284547274, 706 clinicians

Practice addresses (Care Compare)

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-4029

Hospital & facility affiliations

  • Health Link Home Health Agency Home health agency, San Francisco, CA, CCN 059016
  • Healthflex Home Health Services Home health agency, Oakland, CA, CCN 059551
  • Centerwell Asian American Home Health Home health agency, Alameda, CA, CCN 557754
  • Alphacare Home Health Home health agency, San Bruno, CA, CCN 559279
  • UCSF Medical Center Hospital, San Francisco, CA, CCN 050454

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95
Improvement activities
40
Cost
80.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95005175CAMDAdult Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Dec 31, 2021 Accepting new patients
Regents of the University of California CurrentSince Jan 8, 2022 Accepting new patients
University of California San Francisco CurrentSince Dec 31, 2021 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jan 8, 2022 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jan 8, 2022 Accepting new patients
Regents of the University of California PastSince Apr 28, 2024 Accepting new patients
University of California San Francisco Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

8000 Marina Blvd
Brisbane, CA 94005
Phone (415) 514-3577

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

400 Parnassus Ave
Fl 8
San Francisco, CA 94143
Phone (415) 353-2273

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

3360 Geary Blvd
Ste 201
San Francisco, CA 94118
Phone (415) 353-3100

Interoperability endpoints

  • Direct secure messaging: rtamblin37608@direct-ucsfmedicalcenter.org

Organizations & group practices 8

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 5

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": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1356891741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 MARINA BLVD",
            "city": "BRISBANE",
            "state": "CA",
            "postal_code": "940051840",
            "telephone_number": "415-514-3577",
            "fax_number": "415-514-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 MARINA BLVD",
            "city": "BRISBANE",
            "state": "CA",
            "postal_code": "940051840",
            "telephone_number": "415-514-3577",
            "fax_number": "415-514-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMBLIN",
        "first_name": "ROBERT",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-10",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "CA",
            "license": "95005175",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95005175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95005175",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brisbane, CA

Sources for this page

Verify at the official NPI Registry.