Individual provider Active NPI

Tara Nader

  • Sleep Specialist (PhD)
  • South San Francisco, CA
National Provider Identifier
1619306693
Registry record updated Nov 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Specialist (PhD)Taxonomy code 173F00000X
Practice address
225 Spruce Ave
Suite 1
South San Francisco, CA 94080-3631
Phone
(866) 887-6673
Fax
(866) 442-7632
NPI assigned
Nov 11, 2013
Last updated
Nov 11, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Specialist (PhD) 173F00000X Primary

Addresses

Primary practice location

225 Spruce Ave
Suite 1
South San Francisco, CA 94080-3631

Mailing address

14981 National Ave
Suite 1
Los Gatos, CA 95032-2600
Phone (866) 887-6673

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Qualium Corp Past Accepting new patients

Organizations & group practices 2

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": "1384128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384128000000",
    "number": "1619306693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14981 NATIONAL AVE",
            "address_2": "SUITE 1",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322600",
            "telephone_number": "866-887-6673",
            "fax_number": "866-442-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 SPRUCE AVE",
            "address_2": "SUITE 1",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940803631",
            "telephone_number": "866-887-6673",
            "fax_number": "866-442-7632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADER",
        "first_name": "TARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-11",
        "last_updated": "2013-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173F00000X",
            "taxonomy_group": "",
            "desc": "Sleep Specialist, PhD",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2013; 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.