Individual provider Active NPI

Tara Taraneh Farah, MD

  • Family Medicine Physician
  • Emeryville, CA
National Provider Identifier
1851829642
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A169405 Issued in CA
Practice address
5800 Hollis St
Emeryville, CA 94608-2016
Phone
(510) 806-2100
NPI assigned
May 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X RL14595 ND
Family Medicine Physician 207Q00000X A169405 CA Primary

Addresses

Primary practice location

5800 Hollis St
Emeryville, CA 94608-2016

Mailing address

5800 Hollis St
Emeryville, CA 94608-2016
Phone (510) 806-2100

Other practice location 1

725 Hamline St
Grand Forks, ND 58203-2819
Phone (701) 780-6800

Other practice location 2

300 Pasteur Dr
Palo Alto, CA 94304-2203
Phone (650) 723-4000

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE) The Permanente Medical Group

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
I20210518000312 CA Practitioner - Family Practice 9537432661 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Healthcare AllianceGroup PAC ID 6305748799, 334 clinicians

Practice addresses (Care Compare)

4256 Hacienda Dr
Suite 100200
Pleasanton, CA 94588-8595
Phone (925) 264-6510

4725 1St St
Suite 100
Pleasanton, CA 94566-7366
Phone (925) 462-7060

5568 Gibraltar Dr
Pleasanton, CA 94588-8544
Phone (888) 924-1036

Hospital & facility affiliations

  • Healthflex Home Health Services Home health agency, Oakland, CA, CCN 059551
  • Stanford Health Care Tri-Valley Hospital, Pleasanton, CA, CCN 050283
  • Stanford Health Care Hospital, Stanford, CA, CCN 050441

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A169405CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stanford Health Care CurrentSince May 26, 2022 Accepting new patients
University Healthcare Alliance CurrentSince May 26, 2022 Accepting new patients
Permanente Medical Group Inc Family Medicine CurrentSince Feb 10, 2021 Accepting new patients
Stanford Health Care CurrentSince May 26, 2022 Accepting new patients
Stanford Health Care Current Accepting new patients
Permanente Medical Group, Inc CurrentSince Feb 10, 2021 Accepting new patients
Permanente Medical Group Inc Family Medicine Current Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
Affinity Medical Group Past Accepting new patients

Locations

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

50 E Hamilton Ave
Ste 280
Campbell, CA 95008
Phone (408) 227-2646

5800 Hollis St
Emeryville, CA 94608
Phone (510) 806-2100

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

1300 Crane St
Menlo Park, CA 94025
Phone (510) 785-5000

300 Pasteur Dr
Palo Alto, CA 94304
Phone (650) 723-6469

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

5568 Gibraltar Dr
Pleasanton, CA 94588
Phone (925) 534-6500

4725 1st St
Ste 100
Pleasanton, CA 94566
Phone (925) 462-7060

4256 Hacienda Dr
Ste 100
Pleasanton, CA 94588
Phone (925) 263-0313

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

1011 Riverside Ave
Roseville, CA 95678
Phone (916) 746-4578

1001 Riverside Ave
Roseville, CA 95678
Phone (916) 784-4050

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

Interoperability endpoints

  • Direct secure messaging: tfarah375035@direct.stanfordhealthcare.org

Organizations & group practices 9

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 9

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": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1851829642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 HOLLIS ST",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946082016",
            "telephone_number": "510-806-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 HOLLIS ST",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946082016",
            "telephone_number": "510-806-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 Hamline St",
            "address_purpose": "LOCATION",
            "city": "Grand Forks",
            "state": "ND",
            "postal_code": "582032819",
            "country_code": "US",
            "telephone_number": "701-780-6800",
            "fax_number": "701-780-6817",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Pasteur Dr",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943042203",
            "country_code": "US",
            "telephone_number": "650-723-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARAH",
        "first_name": "TARA",
        "middle_name": "TARANEH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-24",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "RL14595",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A169405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1001 Riverside Ave",
            "city": "Roseville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956785134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Emeryville, CA

Sources for this page

Verify at the official NPI Registry.