Individual provider Active NPI

Kathleen Tajiri, MD

  • Allergy & Immunology Physician
  • Napa, CA
National Provider Identifier
1689624983
Registry record updated Apr 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
G65086 Issued in CA
Practice address
1100 Pear Tree LN
Napa, CA 94558-6446
Phone
(707) 258-8100
Fax
(707) 258-0734
NPI assigned
May 10, 2006
Last updated
Apr 15, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X G65086 CA Primary

Addresses

Primary practice location

1100 Pear Tree LN
Napa, CA 94558-6446

Mailing address

1100 Pear Tree LN
Napa, CA 94558-6446
Phone (707) 258-8100

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101030000025 CA Practitioner - Allergy/ImmunologyPractitioner - Internal MedicinePractitioner - Pediatric Medicine 1951595305 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine, Pediatric Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Bay Allergy and AsthmaGroup PAC ID 0840377446, 3 clinicians
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

1100 Pear Tree LN
Napa, CA 94558-6446
Phone (707) 258-8100

2702 Low CT
Fairfield, CA 94534-9771
Phone (707) 432-2600

2720 Low CT
Fairfield, CA 94534-9771
Phone (707) 428-2731

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G65086CAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salinas Allergy Clinic CurrentSince Oct 31, 2011 Accepting new patients
Central Coast Allergy and Asthma CurrentSince Oct 31, 2011 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Apr 1, 2020 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Apr 1, 2020 Accepting new patients
Sutter Regional Medical Foundation Past Accepting new patients

Locations

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

2720 Low Ct
Fl 2
Fairfield, CA 94534

45 E San Joaquin St
Salinas, CA 93901
Phone (831) 424-3300

Interoperability endpoints

  • Direct secure messaging: ktajiri238161@hisp.ehr.sutterhealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271289600000",
    "number": "1689624983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 PEAR TREE LN",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586446",
            "telephone_number": "707-258-8100",
            "fax_number": "707-258-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 PEAR TREE LN",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586446",
            "telephone_number": "707-258-8100",
            "fax_number": "707-258-0734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAJIRI",
        "first_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2010-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "G65086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.