Individual provider Active NPI

Felisa Padua Tacata, M.D.

  • Psychiatry Physician
  • Sacramento, CA
National Provider Identifier
1427049162
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A94819 Issued in CA
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

Updated by the provider on Jan 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
94819CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.