Individual provider Active NPI

Tara Pundiak Toohey, MD

  • Psychiatry Physician
  • Coronado, CA
National Provider Identifier
1568655306
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C130519 Issued in CA
Practice address
641 Coronado Ave
Coronado, CA 92118-2031
Phone
(808) 352-3979
NPI assigned
Aug 24, 2007
Last updated
Oct 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 18791 NV
Psychiatry Physician 2084P0800X MD187465 OR
Psychiatry Physician 2084P0800X 234647 NY
Psychiatry Physician 2084P0800X C1-0010473 DE
Psychiatry Physician 2084P0800X 15585 HI
Psychiatry Physician 2084P0800X C130519 CA Primary

Addresses

Primary practice location

641 Coronado Ave
Coronado, CA 92118-2031

Mailing address

941 Orange Ave # 315
Coronado, CA 92118-2609
Phone (808) 352-3979

Other names 1

  • Tara Marie Pundiak Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140903000937 CA Practitioner - Psychiatry 1658563929 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
78.61 of 100Reported as group
Quality
58.7
Improvement activities
40
Cost
75.08

Merit-based Incentive Payment System (MIPS)

Final score
91.08 of 100Reported as group
Quality
83.33
Improvement activities
40
Cost
76.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C130519CAMDPsychiatry Physician
C1-0010473DEMDPsychiatry Physician
15585HIMDPsychiatry Physician
234647NYMDPsychiatry Physician
MD187465ORMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Agnes Medical Center CurrentSince Aug 10, 2024 Accepting new patients
Pih Health Physicians CurrentSince Feb 1, 2022 Accepting new patients
Pih Health Physicians CurrentSince Feb 1, 2022 Accepting new patients
Cep America - Psychiatry PC Psychiatry Current Accepting new patients
Pih Health Physicians Current Accepting new patients
Senior Medical Associates, Inc. CurrentSince Apr 2, 2021 Accepting new patients
Cep America - Psychiatry PC Psychiatry CurrentSince Apr 1, 2021 Accepting new patients
Rideout Memorial Hospital CurrentSince Apr 17, 2024 Accepting new patients
Trinity Home Health Services CurrentSince Aug 10, 2024 Accepting new patients
Adventist Health Physicians Network Past Accepting new patients
Christiana Care Health Services, Inc Past Accepting new patients
Christiana Care Health Services Inc Past Accepting new patients
Bright Medical Associates, Inc. Past Accepting new patients
Regents of the University of California Ucsd Head and Neck Surgery Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1111 E Spruce Ave
Ste 431
Fresno, CA 93720
Phone (559) 450-5611

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

7202 N Millbrook Ave
Ste 2
Fresno, CA 93720
Phone (559) 449-2930

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

726 4th St
Marysville, CA 95901
Phone (530) 491-9491

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

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

2810 Camino del Rio S
Ste 102
San Diego, CA 92108
Phone (619) 299-1419

1400 E Church St
Santa Maria, CA 93454
Phone (805) 739-3000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/5c7467fb-60f9-4172-add4-57667a5dfcfa/

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1568655306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 ORANGE AVE # 315",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921182609",
            "telephone_number": "808-352-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 CORONADO AVE",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921182031",
            "telephone_number": "808-352-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOOHEY",
        "first_name": "TARA",
        "middle_name": "PUNDIAK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-24",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "18791",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD187465",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "234647",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DE",
            "license": "C1-0010473",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "15585",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C130519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "PUNDIAK",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coronado, CA

Sources for this page

Verify at the official NPI Registry.