Individual provider Active NPI

Rachel Tungol

  • Acute Care Nurse Practitioner
  • Carlsbad, CA
National Provider Identifier
1619520665
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95032623 Issued in CA
Practice address
7149 Tanager Dr
Carlsbad, CA 92011-5035
Phone
(925) 719-6913
NPI assigned
Jul 18, 2019
Reactivated
Oct 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95032623 CA Primary

Addresses

Primary practice location

7149 Tanager Dr
Carlsbad, CA 92011-5035

Mailing address

7149 Tanager Dr
Carlsbad, CA 92011-5035
Phone (925) 719-6913

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250414000256 CA Practitioner - Nurse Practitioner 9436673332 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-4029

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95032623CAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Jan 17, 2025 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jan 17, 2025 Accepting new patients
University of California San Francisco CurrentSince Jan 17, 2025 Accepting new patients
Regents of the University of California CurrentSince Jan 17, 2025 Accepting new patients
UCSF Medical Group Business Services Acute Care CurrentSince Jan 17, 2025 Accepting new patients
Regents of the University of California Past Accepting new patients

Locations

2001 The Embarcadero
Ste 1500
San Francisco, CA 94143
Phone (415) 353-1606

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

400 Parnassus Ave
#4
San Francisco, CA 94143

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

Interoperability endpoints

  • Direct secure messaging: rtungol121357@direct-ucsfmedicalcenter.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1619520665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7149 TANAGER DR",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920115035",
            "telephone_number": "925-719-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7149 TANAGER DR",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920115035",
            "telephone_number": "925-719-6913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNGOL",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "deactivation_date": "2024-10-21",
        "reactivation_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95032623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.