Individual provider Active NPI

Carol S. Taniguchi, NP

  • Family Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1861519233
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NPF14321 Issued in CA
Practice address
375 Woodside Ave
Special Program for Youth
San Francisco, CA 94127-1221
Phone
(415) 753-7808
Fax
(415) 753-7822
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Registered Nurse 163WP2201X RN583581 CA
Family Nurse Practitioner 363LF0000X NPF14321 CA Primary
Pediatric Clinical Nurse Specialist 364SP0200X CNS1906 CA

Addresses

Primary practice location

375 Woodside Ave
Special Program for Youth
San Francisco, CA 94127-1221

Mailing address

375 Woodside Ave
Special Program for Youth
San Francisco, CA 94127-1221
Phone (415) 753-7808

Other identifiers 1

IdentifierTypeStateIssuer
096115OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER

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
I20050413000689 CA Practitioner - Nurse Practitioner 7416994223 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
14321CAMDChiropractor
RN583581CAMDAmbulatory Care Registered Nurse
NPF14321CAMDFamily Nurse Practitioner
CNS1906CAMDPediatric Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
City and County of San Francisco CurrentSince Mar 1, 2020 Accepting new patients
City & County of San Francisco Current Accepting new patients

Locations

50 Lech Walesa
San Francisco, CA 94102
Phone (415) 355-7400

3850 17th St
San Francisco, CA 94114
Phone (415) 487-7500

2401 Keith St
San Francisco, CA 94124
Phone (415) 671-7000

Organizations & group practices 2

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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184716800000",
    "number": "1861519233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 WOODSIDE AVE",
            "address_2": "SPECIAL PROGRAM FOR YOUTH",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941271221",
            "telephone_number": "415-753-7808",
            "fax_number": "415-753-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 WOODSIDE AVE",
            "address_2": "SPECIAL PROGRAM FOR YOUTH",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941271221",
            "telephone_number": "415-753-7808",
            "fax_number": "415-753-7822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANIGUCHI",
        "first_name": "CAROL",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "CA",
            "license": "RN583581",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NPF14321",
            "primary": true
        },
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "CA",
            "license": "CNS1906",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SFGH INTERNAL USE ONLY-COMMERCIAL NUMBER",
            "identifier": "096115",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.