Individual provider Active NPI

Nadine D Tanenbaum, MD

  • Nephrology Physician
  • Chico, CA
National Provider Identifier
1558383695
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A110240 Issued in CA
Practice address
3011 Ceres Ave
Suite 100
Chico, CA 95973-7898
Phone
(530) 899-7090
Fax
(530) 899-2765
NPI assigned
Jul 25, 2006
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A110240 CA Primary
Nephrology Physician 207RN0300X 2006009470 MO

Addresses

Primary practice location

3011 Ceres Ave
Suite 100
Chico, CA 95973-7898

Mailing address

PO Box 209
Chico, CA 95927-0209
Phone (530) 899-7090

Other identifiers 2

IdentifierTypeStateIssuer
PENDINGMedicaidCA
201082203MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
110240CAMDClinical Social Worker
A110240CAMDNephrology Physician
2006009470MOMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mona I Sarbu Nephrology Past Accepting new patients
Washington University Past Accepting new patients
Washington University School of Medicine Past Accepting new patients
Washington University Past Accepting new patients
Inpatient Consultants of California, Inc Past Accepting new patients

Organizations & group practices 5

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1558383695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 209",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959270209",
            "telephone_number": "530-899-7090",
            "fax_number": "530-899-2765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 CERES AVE",
            "address_2": "SUITE 100",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959737898",
            "telephone_number": "530-899-7090",
            "fax_number": "530-899-2765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANENBAUM",
        "first_name": "NADINE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A110240",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "2006009470",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201082203",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.