Active NPI
Tanen Tyrell St. Clair - Brown
- Family Medicine Physician
- Santa Cruz, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A17296
- 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
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 |
|---|---|---|---|---|
| Family Medicine Physician | 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, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
Practice addresses (Care Compare)
1441 Constitution Blvd
Salinas, CA 93912
Phone (831) 755-4235
Hospital & facility affiliations
- Natividad Medical Center
- Salinas Valley Health Medical Center
- Sam Karas Aru - Natividad
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A17296 | CA | MD | Hospitalist Physician |
| 80011-21 | WI | MD | Hospitalist Physician |
| 17296 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health System Corporation | Single Specialty | Current | Accepting new patients |
| PCC Community Wellness Center | Current | Accepting new patients | |
| North State Hospitalist Medical Group, Inc | Single Specialty | Current | Accepting new patients |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Mercy Health System Corporation | Single Specialty | Current | Accepting new patients |
| County of Monterey | Single Specialty | Current | Accepting new patients |
| Mercy Health System Corporation | Current | Accepting new patients | |
| PCC Community Wellness Center | Single Specialty | Current | Accepting new patients |
| Family Health Centers of San Diego Inc | Current | Accepting new patients | |
| County of Monterey Behavioral Health | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1447281936
Single Specialty
-
- Hospitalist Physician
- Mount Shasta, CA
- NPI 1598305682
Single Specialty
-
- Multi-Specialty Clinic/Center
- Janesville, WI
- NPI 1598718603
Single Specialty
-
- Federally Qualified Health Center (FQHC)
- Oak Park, IL
- NPI 1871516799
Single Specialty
-
- Adult Mental Health Clinic/Center
- Salinas, CA
- NPI 1053126003
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1952729303
-
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1356178180
-
- General Acute Care Hospital
- Janesville, WI
- NPI 1093768962
Single Specialty
-
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1134954506
-
- Federally Qualified Health Center (FQHC)
- National City, CA
- NPI 1003869363
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Salinas, CA
- NPI 1205863255
-
- Rural Health Clinic/Center
- Gonzales, CA
- NPI 1437549284
Hospital
-
- General Acute Care Hospital
- Salinas, CA
- NPI 1750384079
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.