Individual provider Active NPI

Bruce G Tatro, M.D.

  • Internal Medicine Physician
  • Oakland, CA
National Provider Identifier
1851473318
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G60674 Issued in CA
Practice address
2107 Livingston St
Suite a
Oakland, CA 94606-5218
Phone
(510) 436-9000
Fax
(510) 868-3430
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G60674 CA Primary

Addresses

Primary practice location

2107 Livingston St
Suite a
Oakland, CA 94606-5218

Mailing address

15110 Vista Knolls Dr
Redding, CA 96001-9593
Phone (560) 510-9955

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
I20070117000235 CA Practitioner - HospitalistPractitioner - Internal Medicine 8022019108 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Loma Linda University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vituity Hospitalists PCGroup PAC ID 2567714090, 78 clinicians

Practice addresses (Care Compare)

2175 Rosaline Ave
Redding, CA 96001-2549
Phone (530) 225-6000

Hospital & facility affiliations

  • Mercy Medical Center Redding Hospital, Redding, CA, CCN 050280

Merit-based Incentive Payment System (MIPS)

Final score
76.8 of 100Reported as individual
Quality
80.29
Improvement activities
0
Cost
75.48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G60674CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Specialists of California, PC Internal Medicine CurrentSince Mar 1, 2015 Accepting new patients
Vituity Hospitalists PC Internal Medicine CurrentSince Apr 1, 2020 Accepting new patients
Vituity Hospitalists PC Internal Medicine CurrentSince Apr 1, 2020 Accepting new patients
Fairchild Medical Group Past Accepting new patients
Dignity Health Past Accepting new patients
Hospitalists of Northern California, Inc Past Accepting new patients
Dignity Health Past Accepting new patients
Cep America - California Past Accepting new patients
Ihc Health Services, Inc. Past Accepting new patients
Dignity Health Past Accepting new patients
Peacehealth Past Accepting new patients
Dignity Community Care Past Accepting new patients

Locations

155 Glasson Way
Grass Valley, CA 95945
Phone (530) 274-6000

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2550 Sister Mary Columba Dr
Red Bluff, CA 96080
Phone (530) 529-8000

2175 Rosaline Ave
Redding, CA 96001
Phone (530) 225-7247

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

Organizations & group practices 12

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 1

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233014400000",
    "number": "1851473318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15110 VISTA KNOLLS DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960019593",
            "telephone_number": "560-510-9955",
            "fax_number": "530-244-9916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 LIVINGSTON ST",
            "address_2": "SUITE A",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946065218",
            "telephone_number": "510-436-9000",
            "fax_number": "510-868-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATRO",
        "first_name": "BRUCE",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2009-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G60674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.