Individual provider Active NPI

Misha Tavaf, DPM

  • Podiatrist
  • Palo Alto, CA
National Provider Identifier
1699487215
Registry record updated Jul 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
EL6985 Issued in CA
Practice address
3801 Miranda Ave
Palo Alto, CA 94304-1207
Phone
(650) 493-5000
Fax
(650) 493-5000
NPI assigned
Dec 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X EL6985 CA Primary

Addresses

Primary practice location

3801 Miranda Ave
Palo Alto, CA 94304-1207

Mailing address

3801 Miranda Ave
Palo Alto, CA 94304-1207

Other identifiers 1

IdentifierTypeStateIssuer
EL6985OtherCAPODIATRIC MEDICAL BOARD OF CALIFORNIA

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230817003392 CA Practitioner - Podiatry 3274995535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area Foot Care IncGroup PAC ID 0345329686, 127 clinicians

Practice addresses (Care Compare)

400 Carlton Ave
Suite 200
Los Gatos, CA 95032-2629
Phone (408) 358-6234

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Campbell, CA, CCN 059122
  • Good Samaritan Hospital Hospital, San Jose, CA, CCN 050380

Merit-based Incentive Payment System (MIPS)

Final score
88.65 of 100Reported as group
Quality
68.04
Promoting interoperability
99
Improvement activities
40
Cost
75.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue192
Removal of skin lesions1-10
Removal of nail tissue357
Removal or shaving of skin growth263
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
EL6985CAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Foot Care Inc Podiatrist CurrentSince Aug 1, 2023 Accepting new patients
Bay Area Foot Care, Inc Single Specialty CurrentSince Aug 1, 2023 Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
Good Samaritan Hospital Ca LTD PTP Past Accepting new patients

Locations

5120 Manzanita Ave
Ste 100
Carmichael, CA 95608
Phone (916) 459-4398

10353 Torre Ave
Ste C
Cupertino, CA 95014
Phone (408) 358-6234

2925 Spafford St
Ste A
Davis, CA 95618
Phone (530) 753-9080

1600 Creekside Dr
Ste 3100
Folsom, CA 95630
Phone (916) 269-8865

400 Carlton Ave
Ste 200
Los Gatos, CA 95032
Phone (408) 358-6234

400 Carlton Ave
Los Gatos, CA 95032
Phone (408) 358-6234

730 16th St
Modesto, CA 95354
Phone (209) 529-9450

2844 Summit St
Ste 107
Oakland, CA 94609
Phone (510) 463-3888

5030 J St
Ste 300
Sacramento, CA 95819
Phone (916) 459-4398

1100 Laurel St
Ste E
San Carlos, CA 94070
Phone (650) 595-4148

1 Shrader St
Ste 580
San Francisco, CA 94117
Phone (415) 292-0638

1580 Valencia St
Ste 109
San Francisco, CA 94110
Phone (415) 285-7711

2114 McKee Rd
San Jose, CA 95116
Phone (408) 272-2211

750 Las Gallinas Ave
Ste 115
San Rafael, CA 94903
Phone (415) 472-5575

3536 Mendocino Ave
Ste 300B
Santa Rosa, CA 95403
Phone (707) 237-3410

3031 W March Ln
Ste 310
Stockton, CA 95219
Phone (209) 472-0800

47 Penny Ln
Ste 1
Watsonville, CA 95076
Phone (831) 728-8844

Interoperability endpoints

  • Direct secure messaging: misha.tavaf.1@20181.direct.athenahealth.com

Organizations & group practices 4

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.

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": "1670976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688256000000",
    "number": "1699487215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 MIRANDA AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 MIRANDA AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041207",
            "telephone_number": "650-493-5000",
            "fax_number": "650-493-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVAF",
        "first_name": "MISHA",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-14",
        "last_updated": "2023-07-02",
        "certification_date": "2023-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "EL6985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PODIATRIC MEDICAL BOARD OF CALIFORNIA",
            "identifier": "EL6985",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.