Individual provider Active NPI

Tanen Tyrell St. Clair - Brown

  • Family Medicine Physician
  • Santa Cruz, CA
National Provider Identifier
1487040739
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A17296 Issued in CA
Practice address
1156 High St
Santa Cruz, CA 95064-1099
Phone
(831) 459-2869
NPI assigned
Apr 14, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 20A17296 CA Primary

Addresses

Primary practice location

1156 High St
Santa Cruz, CA 95064-1099

Mailing address

1156 High St
Santa Cruz, CA 95064-1099
Phone (831) 459-2869

Other practice location 1

1000 Mineral Point Ave
Janesville, WI 53548-2940
Phone (608) 756-6000

Other practice location 2

1111 Hayes Ave
Sandusky, OH 44870
Phone (419) 502-2800

Other practice location 3

1441 Constitution Blvd
Salinas, CA 93906-3100
Phone (831) 755-4111

Other practice location 4

1111 Hayes Ave
Sandusky, OH 44870-3323
Phone (419) 502-2800

Other practice location 5

1111 Hayes Ave
Sandusky, OH 44870-3323
Phone (419) 502-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CA, WI3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180809004724 IL Practitioner - Family Practice 5193014488 Reassigns benefits to 1 organization
I20191017000688 CA Practitioner - Family Practice 5193014488 Reassigns benefits to 3 organizations
I20221107002955 WI Practitioner - Family Practice 5193014488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of MontereyGroup PAC ID 2466345632, 186 clinicians

Practice addresses (Care Compare)

1441 Constitution Blvd
Salinas, CA 93912
Phone (831) 755-4235

Hospital & facility affiliations

  • Natividad Medical Center Hospital, Salinas, CA, CCN 050248
  • Salinas Valley Health Medical Center Hospital, Salinas, CA, CCN 050334
  • Sam Karas Aru - Natividad Inpatient rehabilitation facility, Salinas, CA, CCN 05T248

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A17296CAMDHospitalist Physician
80011-21WIMDHospitalist Physician
17296CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health System Corporation Single Specialty CurrentSince Oct 12, 2022 Accepting new patients
PCC Community Wellness Center CurrentSince Jul 23, 2018 Accepting new patients
North State Hospitalist Medical Group, Inc Single Specialty CurrentSince Mar 1, 2024 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Sep 13, 2019 Accepting new patients
Mercy Health System Corporation Single Specialty Current Accepting new patients
County of Monterey Single Specialty CurrentSince Jun 1, 2024 Accepting new patients
Mercy Health System Corporation CurrentSince Oct 12, 2022 Accepting new patients
PCC Community Wellness Center Single Specialty CurrentSince Jul 23, 2018 Accepting new patients
Family Health Centers of San Diego Inc CurrentSince Sep 13, 2019 Accepting new patients
County of Monterey Behavioral Health CurrentSince Jun 1, 2024 Accepting new patients
Family Health Centers of San Diego, Inc Single Specialty Current Accepting new patients
Centro de Salud de la Comunidad de San Ysidro, Inc. Past Accepting new patients

Locations

914 Pine St
Mount Shasta, CA 96067
Phone (503) 926-6111

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

4874 Polk Ave
San Diego, CA 92105
Phone (619) 515-2426

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

5454 El Cajon Blvd
San Diego, CA 92115
Phone (619) 515-2381

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

1 Erie Ct
Ste 7120
Oak Park, IL 60302
Phone (708) 848-4662

1 Erie Ct
Ste 7140
Oak Park, IL 60302
Phone (708) 763-1470

14 Lake St
Oak Park, IL 60302
Phone (708) 383-0113

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

3524 E Milwaukee St
Janesville, WI 53546
Phone (608) 756-7100

Organizations & group practices 12

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 3

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": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1487040739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 HIGH ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950641099",
            "telephone_number": "831-459-2869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 HIGH ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950641099",
            "telephone_number": "831-459-2869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Mineral Point Ave",
            "address_purpose": "LOCATION",
            "city": "Janesville",
            "state": "WI",
            "postal_code": "535482940",
            "country_code": "US",
            "telephone_number": "608-756-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 Hayes Ave",
            "address_purpose": "LOCATION",
            "city": "Sandusky",
            "state": "OH",
            "postal_code": "44870",
            "country_code": "US",
            "telephone_number": "419-502-2800",
            "fax_number": "419-502-2821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1441 Constitution Blvd",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939063100",
            "country_code": "US",
            "telephone_number": "831-755-4111",
            "fax_number": "773-537-0029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 Hayes Ave",
            "address_purpose": "LOCATION",
            "city": "Sandusky",
            "state": "OH",
            "postal_code": "448703323",
            "country_code": "US",
            "telephone_number": "419-502-2800",
            "fax_number": "419-502-2821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 Hayes Ave",
            "address_purpose": "LOCATION",
            "city": "Sandusky",
            "state": "OH",
            "postal_code": "448703323",
            "country_code": "US",
            "telephone_number": "419-502-2800",
            "fax_number": "419-502-2821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ST. CLAIR - BROWN",
        "first_name": "TANEN",
        "middle_name": "TYRELL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-14",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A17296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.