Individual provider Active NPI

Lioudmila Tarbox, FNP

  • Family Nurse Practitioner
  • Marina, CA
National Provider Identifier
1437818499
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95019279 Issued in CA
Practice address
2930 2ND Ave Ste 120
Marina, CA 93933-6244
Phone
(831) 622-6935
NPI assigned
Dec 16, 2021
Last updated
Dec 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95019279 CA Primary

Addresses

Primary practice location

2930 2ND Ave Ste 120
Marina, CA 93933-6244

Mailing address

2067 Green Valley Rd
Watsonville, CA 95076-8618
Phone (183) 129-5172

Other names 1

  • Lioudmila, Lucy Savage, Solosnikova Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lucy.tarbox@mogo.org Direct

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
I20220415000054 CA Practitioner - Nurse Practitioner 6204222433 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mogo Urgent CareGroup PAC ID 7810329976, 21 clinicians

Practice addresses (Care Compare)

2020 Del Monte Ave
Suite B
Monterey, CA 93940-2401
Phone (831) 625-4500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95019279CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fastrackmed Urgent Care Inc Family CurrentSince Jan 1, 2024 Accepting new patients
Mogo Urgent Care CurrentSince Dec 21, 2021 Accepting new patients
Coastal Health Partners CurrentSince Apr 29, 2024 Accepting new patients
Mogo Urgent Care CurrentSince Jan 7, 2022 Accepting new patients

Locations

108 Green Valley Rd
Freedom, CA 95019
Phone (831) 295-1726

2930 2nd Ave
Ste 120
Marina, CA 93933
Phone (831) 622-6935

2020 Del Monte Ave
Ste B
Monterey, CA 93940
Phone (831) 622-6930

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7346/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1639612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1437818499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2067 GREEN VALLEY RD",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950768618",
            "telephone_number": "183-129-5172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 2ND AVE STE 120",
            "city": "MARINA",
            "state": "CA",
            "postal_code": "939336244",
            "telephone_number": "831-622-6935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARBOX",
        "first_name": "LIOUDMILA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-16",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95019279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lucy.tarbox@mogo.org",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "lucy.tarbox@montagehealth.org",
            "address_1": "2930 2nd Ave Ste 120",
            "city": "Marina",
            "state": "CA",
            "country_code": "US",
            "postal_code": "939336244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LIOUDMILA, LUCY",
            "last_name": "SAVAGE, SOLOSNIKOVA",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marina, CA

Sources for this page

Verify at the official NPI Registry.