Individual provider Active NPI

Tammy J Mahaney, DNP-FNP

  • Family Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1679359178
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95027799 Issued in CA
Practice address
2000 Van Ness Ave Ste 304
San Francisco, CA 94109-3020
Phone
(415) 775-1500
NPI assigned
Aug 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 95027799 CA
Family Nurse Practitioner 363LF0000X 95027799 CA Primary

Addresses

Primary practice location

2000 Van Ness Ave Ste 304
San Francisco, CA 94109-3020

Mailing address

2000 Van Ness Ave Ste 304
San Francisco, CA 94109-3020
Phone (415) 775-1500

Other practice location 1

400 30th St Ste 401
Oakland, CA 94609-3317
Phone (510) 891-9998

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
I20240404000471 CA Practitioner - Nurse Practitioner 9234577610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Medical University of South Carolina College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bella Health and Wellness IncGroup PAC ID 7517319148, 3 clinicians

Practice addresses (Care Compare)

2000 Van Ness Ave
Suite 304
San Francisco, CA 94109-3020
Phone (415) 845-5795

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bella Health and Wellness Inc Family Medicine CurrentSince Feb 20, 2024 Accepting new patients

Locations

2000 Van Ness Ave
Ste 304
San Francisco, CA 94109
Phone (415) 563-1616

6870 W 52nd Ave
Ste 102
Arvada, CO 80002
Phone (303) 534-0391

Interoperability endpoints

  • Direct secure messaging: bellahealthandwellness.tammymahaney@157056.advancedmd-direct.com
  • Direct secure messaging: tammy.mahaney.1@18367.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1679359178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 VAN NESS AVE STE 304",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941093020",
            "telephone_number": "415-775-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 VAN NESS AVE STE 304",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941093020",
            "telephone_number": "415-775-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 30th St Ste 401",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946093317",
            "country_code": "US",
            "telephone_number": "510-891-9998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHANEY",
        "first_name": "TAMMY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DNP-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "95027799",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95027799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.