Individual provider Active NPI

Lyndly Johnni Tamura, M.D.

  • Physical Medicine & Rehabilitation Physician
  • San Francisco, CA
National Provider Identifier
1699121905
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A151149 Issued in CA
Practice address
1500 Owens St Ste 170
San Francisco, CA 94158-2335
Phone
(415) 514-6828
Fax
(415) 514-6165
NPI assigned
May 5, 2016
Last updated
Jun 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 302558 NY
Physical Medicine & Rehabilitation Physician 208100000X A151149 CA Primary

Addresses

Primary practice location

1500 Owens St Ste 170
San Francisco, CA 94158-2335

Mailing address

1500 Owens St Ste 170
San Francisco, CA 94158-2335
Phone (415) 514-6828

Other practice location 1

4000 Civic Center Dr Ste 209
San Rafael, CA 94903-5233
Phone (415) 925-8963

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
I20210526002871 CA Practitioner - Physical Medicine and Rehabilitation 0547688954 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Toledo College of Medicine, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Regents Univ of California UCSFGroup PAC ID 6305160300, 276 clinicians

Practice addresses (Care Compare)

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.03 of 100Reported as subgroup
Quality
80.86
Promoting interoperability
76
Improvement activities
40
Cost
75.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A151149CAMDPhysical Medicine & Rehabilitation Physician
302558NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents Univ of California UCSF CurrentSince May 23, 2021 Accepting new patients
University of California San Francisco CurrentSince May 23, 2021 Accepting new patients
UCSF Medical Group Business Services CurrentSince May 23, 2021 Accepting new patients
UCSF Medical Group Business Services CurrentSince May 23, 2021 Accepting new patients
University of California San Francisco CurrentSince May 23, 2021 Accepting new patients
University of California San Francisco Current Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
Marin General Hospital Past Accepting new patients
UCSF Medical Center at Mt. Zion Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

1240 S Eliseo Dr
Ste 101
Greenbrae, CA 94904
Phone (415) 592-2014

2 Bon Air Rd
Ste 120
Larkspur, CA 94939
Phone (415) 496-2812

1500 Owens St
Ste 170
San Francisco, CA 94158
Phone (415) 353-7491

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

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

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

4000 Civic Center Dr
Ste 209
San Rafael, CA 94903
Phone (415) 492-4840

Interoperability endpoints

  • Direct secure messaging: ltamura197232@direct-ucsfmedicalcenter.org

Organizations & group practices 10

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 3

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": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1699121905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 OWENS ST STE 170",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941582335",
            "telephone_number": "415-514-6828",
            "fax_number": "415-514-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 OWENS ST STE 170",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941582335",
            "telephone_number": "415-514-6828",
            "fax_number": "415-514-6165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Civic Center Dr Ste 209",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "949035233",
            "country_code": "US",
            "telephone_number": "415-925-8963",
            "fax_number": "628-240-2181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAMURA",
        "first_name": "LYNDLY",
        "middle_name": "JOHNNI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-05",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "302558",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A151149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.