Individual provider Active NPI

Nancy Rohinton Tengra, NP

  • Acute Care Nurse Practitioner
  • San Bruno, CA
National Provider Identifier
1407691470
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95030066 Issued in CA
Practice address
12 Pacific Bay Cir Apt 306
San Bruno, CA 94066-6151
Phone
(301) 452-5638
NPI assigned
Jul 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95030066 CA Primary

Addresses

Primary practice location

12 Pacific Bay Cir Apt 306
San Bruno, CA 94066-6151

Mailing address

12 Pacific Bay Cir Apt 306
San Bruno, CA 94066-6151
Phone (301) 452-5638

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
I20241105002529 CA Practitioner - Nurse Practitioner 3577097195 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
UCSF Medical Group Business ServicesGroup PAC ID 3779497870, 1,533 clinicians

Practice addresses (Care Compare)

400 Parnassus Ave
San Francisco, CA 94143-2202

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95030066CAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Oct 24, 2024 Accepting new patients
UCSF Medical Group Business Services Acute Care CurrentSince Oct 24, 2024 Accepting new patients
UCSF Dept of Surgery CurrentSince Oct 24, 2024 Accepting new patients
University of California San Francisco CurrentSince Oct 24, 2024 Accepting new patients
UCSF Medical Group Business Services CurrentSince Oct 24, 2024 Accepting new patients
University of California San Francisco CurrentSince Oct 24, 2024 Accepting new patients

Locations

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

Interoperability endpoints

  • Direct secure messaging: ntengra71982@direct-ucsfmedicalcenter.org

Organizations & group practices 6

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 1

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": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1407691470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 PACIFIC BAY CIR APT 306",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940666151",
            "telephone_number": "301-452-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 PACIFIC BAY CIR APT 306",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940666151",
            "telephone_number": "301-452-5638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENGRA",
        "first_name": "NANCY",
        "middle_name": "ROHINTON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95030066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bruno, CA

Sources for this page

Verify at the official NPI Registry.