Active NPI
Tara McShane Pandarinath, MSW
- Social Worker
- San Jose, CA
National Provider Identifier
1659629913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 33608
- Practice address
- 1340 Tully Rd Ste 304
San Jose, CA 95122-3055 - Phone
- (408) 271-3900
- Fax
- (408) 271-3909
- NPI assigned
- Aug 16, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 33608 | CA | Primary |
| Social Worker | 104100000X | 082650-1 | NY |
Addresses
Primary practice location
1340 Tully Rd Ste 304
San Jose, CA 95122-3055
Mailing address
145 Fell St Apt 105
San Francisco, CA 94102-5134
Phone (415) 891-7908
Other names 1
- Tara Leigh McShane
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33608 | CA | MD | Social Worker |
| 082650-1 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthright 360 | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- South San Francisco, CA
- NPI 1265563688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345075200000",
"number": "1659629913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 FELL ST APT 105",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941025134",
"telephone_number": "415-891-7908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 TULLY RD STE 304",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951223055",
"telephone_number": "408-271-3900",
"fax_number": "408-271-3909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANDARINATH",
"first_name": "TARA",
"middle_name": "MCSHANE",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-16",
"last_updated": "2012-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "33608",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "082650-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TARA",
"last_name": "MCSHANE",
"middle_name": "LEIGH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.