Individual provider Active NPI

Robert David Tufft, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Oakland, CA
National Provider Identifier
1619010121
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
G0381130 Issued in CA
Practice address
2930 McClure St
Suite 1
Oakland, CA 94609-3505
Phone
(510) 444-2155
Fax
(510) 444-0274
NPI assigned
Feb 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X G0381130 CA Primary
Internal Medicine Physician 207R00000X G0381130 CA
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X G0381130 CA

Addresses

Primary practice location

2930 McClure St
Suite 1
Oakland, CA 94609-3505

Mailing address

2930 McClure St
Suite 1
Oakland, CA 94609-3505
Phone (510) 444-2155

Other identifiers 1

IdentifierTypeStateIssuer
GR0027060MedicaidCA

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
I20070601000586 CA Practitioner - Internal MedicinePractitioner - Undersea and Hyperbaric Medicine 4385742139

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G0381130CAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1619010121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 MCCLURE ST",
            "address_2": "SUITE 1",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093505",
            "telephone_number": "510-444-2155",
            "fax_number": "510-444-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 MCCLURE ST",
            "address_2": "SUITE 1",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093505",
            "telephone_number": "510-444-2155",
            "fax_number": "510-444-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUFFT",
        "first_name": "ROBERT",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "G0381130",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G0381130",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "CA",
            "license": "G0381130",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0027060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.