Rebecca Dutta
Individual provider Active NPI Neurology Physician · Sausalito, CA
NPI 1639730922 · NPPES record last updated May 22, 2025
Key facts
- NPI
- 1639730922
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- A182766 (CA)
- Practice address
- 3 Harbor Dr Ste 111
Sausalito, CA 94965-1491 - Phone
- (415) 683-2988
- NPI assigned
- Jun 26, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Neurology
- Education
- University of California, Davis School of Medicine, 2021
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Regents Univ of California UCSF
Practice addresses (Care Compare)
505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000
Hospital & facility affiliations
- Marinhealth Medical Center
- Novato Community Hospital
- UCSF Medical Center
- Sonoma Valley Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250606001472 | CA | Practitioner - Neurology | 1850764242 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A182766 | CA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents Univ of California UCSF | Current |
Accepting new patients |
Locations
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
3 Harbor Dr
Ste 111
Sausalito, CA 94965
Phone (415) 683-2988
Interoperability endpoints
- rdutta431719@direct-ucsfmedicalcenter.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Neurology Physician | 2084N0400X | A182766 | CA | Yes |
Addresses
Primary practice location
3 Harbor Dr Ste 111
Sausalito, CA 94965-1491
Mailing address
4610 X St
Sacramento, CA 95817-2200
Other practice location 1
4610 X St
Sacramento, CA 95817-2200
Phone (916) 816-2032
Other providers in Sausalito, CA
- Dr Dean Ornish Lifestyle Medicine PC
- Dr. Eva Dahl DC, Inc
- Dr. Monique McQuade, DDS
- Erika Ducati
- Carol Lee Duke
- Elemental Telehealth, Inc
- Brigitte Essl
- Evan Shepherd Reiff, L.Ac.
- Carter C Evans
- Stephanie Evans
All providers in Sausalito, CA · Neurology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.