Individual provider Active NPI

Tanvi Gurazada, NP

  • Women's Health Nurse Practitioner
  • San Ramon, CA
National Provider Identifier
1508687757
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
95040077 Issued in CA
Practice address
200 Porter Dr Ste 200
San Ramon, CA 94583-1524
Phone
(925) 838-2108
NPI assigned
Oct 21, 2024
Last updated
Jun 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 95040077 CA Primary
Registered Nurse 163W00000X RN332851 GA

Addresses

Primary practice location

200 Porter Dr Ste 200
San Ramon, CA 94583-1524

Mailing address

200 Porter Dr Ste 200
San Ramon, CA 94583-1524
Phone (925) 838-2108

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN332851GAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Shasta Diablo Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1508687757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PORTER DR STE 200",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831524",
            "telephone_number": "925-838-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PORTER DR STE 200",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831524",
            "telephone_number": "925-838-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURAZADA",
        "first_name": "TANVI",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-21",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "95040077",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN332851",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.