Individual provider Active NPI

Danarae Tenollar, RN

  • Registered Nurse
  • San Francisco, CA
National Provider Identifier
1730975087
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95284880 Issued in CA
Practice address
625 2ND Street
Suite 102
San Francisco, CA 94107
Phone
(844) 472-5634
NPI assigned
Apr 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95284880 CA Primary

Addresses

Primary practice location

625 2ND Street
Suite 102
San Francisco, CA 94107

Mailing address

625 2ND Street
Suite 102
San Francisco, CA 94107
Phone (844) 472-5634

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
95284880CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Blossom Ridge Health, LLC CurrentSince Apr 20, 2025 Accepting new patients

Locations

625 2nd St
Ste 102
San Francisco, CA 94107
Phone (844) 432-5634

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": "1744675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1730975087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 2ND STREET",
            "address_2": "SUITE 102",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94107",
            "telephone_number": "844-472-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 2ND STREET",
            "address_2": "SUITE 102",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94107",
            "telephone_number": "844-472-5634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENOLLAR",
        "first_name": "DANARAE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95284880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.