Individual provider Active NPI

Tia Briana Watson

  • Nurse Practitioner
  • Palo Alto, CA
National Provider Identifier
1477020915
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95010280 Issued in CA
Practice address
871 Warren Way
Palo Alto, CA 94303-3628
Phone
(920) 621-8713
NPI assigned
Nov 1, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95010280 CA Primary

Addresses

Primary practice location

871 Warren Way
Palo Alto, CA 94303-3628

Mailing address

871 Warren Way
Palo Alto, CA 94303-3628
Phone (920) 621-8713

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
I20190313002916 CA Practitioner - Nurse Practitioner 8921348723 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco Current Accepting new patients
University of California San Francisco CurrentSince Feb 1, 2019 Accepting new patients
UCSF Medical Group Business Services CurrentSince Feb 1, 2019 Accepting new patients
UCSF Dept of Surgery CurrentSince Feb 1, 2019 Accepting new patients
University of California San Francisco CurrentSince Feb 1, 2019 Accepting new patients
UCSF Medical Group Business Services Nurse Practitioner CurrentSince Feb 1, 2019 Accepting new patients
Regents of the University of California CurrentSince Feb 1, 2019 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

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

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

Organizations & group practices 7

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": "1541030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1477020915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 WARREN WAY",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943033628",
            "telephone_number": "920-621-8713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 WARREN WAY",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943033628",
            "telephone_number": "920-621-8713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "TIA",
        "middle_name": "BRIANA",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-01",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95010280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.