Individual provider Active NPI

Tara Lynn Valcarcel, RN, CPNP

  • Pediatric Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1801038245
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
19784 Issued in CA
Practice address
533 Parnassus Ave # U-127
Box 0107
San Francisco, CA 94143-2208
Phone
(415) 502-4258
Fax
(415) 502-7540
NPI assigned
Mar 31, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 19784 CA Primary
Registered Nurse 163W00000X 706683 CA

Addresses

Primary practice location

533 Parnassus Ave # U-127
Box 0107
San Francisco, CA 94143-2208

Mailing address

533 Parnassus Ave # U-127
Box 0107
San Francisco, CA 94143-2208
Phone (415) 502-4258

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110816000324 CA Practitioner - Nurse Practitioner 5294904827 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
706683CAMDRegistered Nurse
19784CAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco Current Accepting new patients
University of California San Francisco CurrentSince Jul 1, 2011 Accepting new patients
UCSF Pediatrics Associates CurrentSince Jul 1, 2011 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 1, 2011 Accepting new patients
University of California San Francisco CurrentSince Jul 1, 2011 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 1, 2011 Accepting new patients
University of California San Francisco Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163

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

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

533 Parnassus Ave
#U127
San Francisco, CA 94143
Phone (415) 476-7931

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

1825 4th St
Fl 6
San Francisco, CA 94143
Phone (415) 353-7337

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

Interoperability endpoints

  • Direct secure messaging: tvalcarcel9868@direct-ucsfmedicalcenter.org

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": "1238457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294704000000",
    "number": "1801038245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 PARNASSUS AVE # U-127",
            "address_2": "BOX 0107",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432208",
            "telephone_number": "415-502-4258",
            "fax_number": "415-502-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 PARNASSUS AVE # U-127",
            "address_2": "BOX 0107",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432208",
            "telephone_number": "415-502-4258",
            "fax_number": "415-502-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALCARCEL",
        "first_name": "TARA",
        "middle_name": "LYNN",
        "credential": "RN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-31",
        "last_updated": "2011-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "19784",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "706683",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.