Individual provider Active NPI

Tala Lutuf Ghantous, LCSW

  • Clinical Social Worker
  • Oakland, CA
National Provider Identifier
1801007497
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
25100 Issued in CA
Practice address
770 53Rd St
Oakland, CA 94609-1814
Phone
(510) 428-3441
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 25100 CA Primary

Addresses

Primary practice location

770 53Rd St
Oakland, CA 94609-1814

Mailing address

747 52ND St
Oakland, CA 94609-1809
Phone (510) 428-8413

Other practice location 1

312 Clay St Ste 150
Oakland, CA 94607-3510
Phone (510) 428-8413

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260318004254 CA Practitioner - Clinical Social Worker 5991289803 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2001 The Embarcadero
Suite 1500
San Francisco, CA 94143-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Psychiatry Clinical CurrentSince Mar 4, 2026 Accepting new patients
University of California San Francisco CurrentSince Mar 4, 2026 Accepting new patients
UCSF Pediatrics Associates CurrentSince Mar 4, 2026 Accepting new patients
University of California San Francisco CurrentSince Mar 4, 2026 Accepting new patients
UCSF Medical Group Business Services CurrentSince Mar 4, 2026 Accepting new patients
Regents of the University of California CurrentSince Mar 2, 2026 Accepting new patients
UCSF Medical Group Business Services CurrentSince Mar 4, 2026 Accepting new patients

Locations

312 Clay St
Ste 150
Oakland, CA 94607
Phone (510) 428-3408

770 53rd St
Oakland, CA 94609
Phone (510) 428-3441

747 52nd St
Oakland, CA 94609
Phone (510) 428-3070

Organizations & group practices 8

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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1801007497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 52ND ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091809",
            "telephone_number": "510-428-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 53RD ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091814",
            "telephone_number": "510-428-3441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "312 Clay St Ste 150",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946073510",
            "country_code": "US",
            "telephone_number": "510-428-8413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHANTOUS",
        "first_name": "TALA",
        "middle_name": "LUTUF",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "25100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.