Active NPI
Felisa Padua Tacata, M.D.
- Psychiatry Physician
- Sacramento, CA
National Provider Identifier
1427049162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A94819
- Practice address
- 2951 Fulton Ave
Sacramento, CA 95821-4909 - Phone
- (916) 486-7555
- Fax
- (916) 486-7557
- NPI assigned
- Nov 2, 2005
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A94819 | CA | Primary |
Addresses
Primary practice location
2951 Fulton Ave
Sacramento, CA 95821-4909
Mailing address
2701 Del Paso Rd
# 130-239
Sacramento, CA 95835-2305
Phone (916) 486-7555
Other practice location 1
4441 E Kings Canyon Rd
Fresno, CA 93702-3604
Phone (559) 600-9059 ext. 55960
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94819 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vo of Arizona, Inc. | Past | Accepting new patients | |
| Mark David Levine, MD, Psychiatry Associates, P.C. | Psychiatry | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychiatry Physician
- Sacramento, CA
- NPI 1346483682
-
- Clinical Medical Laboratory
- Glendale, AZ
- NPI 1447458682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577923200000",
"number": "1427049162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 DEL PASO RD",
"address_2": "# 130-239",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958352305",
"telephone_number": "916-486-7555",
"fax_number": "916-486-7557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2951 FULTON AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958214909",
"telephone_number": "916-486-7555",
"fax_number": "916-486-7557"
}
],
"practiceLocations": [
{
"address_1": "4441 E Kings Canyon Rd",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937023604",
"country_code": "US",
"telephone_number": "559-600-9059 x55960",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TACATA",
"first_name": "FELISA",
"middle_name": "PADUA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-02",
"last_updated": "2020-01-02",
"certification_date": "2020-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A94819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.