Individual provider Active NPI

Lauren Ashley Tipton, MD

  • Psychiatry Physician
  • Novato, CA
National Provider Identifier
1881191591
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A166413 Issued in CA
Practice address
75 Rowland Way Ste 220
Novato, CA 94945-5039
Phone
(682) 336-5460
Fax
(628) 240-2141
NPI assigned
Apr 9, 2018
Last updated
Jan 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A166413 CA Primary

Addresses

Primary practice location

75 Rowland Way Ste 220
Novato, CA 94945-5039

Mailing address

75 Rowland Way Ste 220
Novato, CA 94945-5039
Phone (682) 336-5460

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
I20200622001575 CA Practitioner - PsychiatryPractitioner - Other (Physician) 5698197630 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of South Carolina School of Medicine, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Regents Univ of California UCSFGroup PAC ID 6305160300, 276 clinicians

Practice addresses (Care Compare)

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

Merit-based Incentive Payment System (MIPS)

Final score
81.03 of 100Reported as subgroup
Quality
80.86
Promoting interoperability
76
Improvement activities
40
Cost
75.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A166413CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara CurrentSince Sep 23, 2021 Accepting new patients
Regents Univ of California UCSF Psychiatry CurrentSince Aug 20, 2023 Accepting new patients
Momentum for Health CurrentSince Jun 27, 2022 Accepting new patients
County of Santa Clara CurrentSince Sep 23, 2021 Accepting new patients
Bay Psychiatric Associates Psychiatry CurrentSince Aug 10, 2020 Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Sep 23, 2021 Accepting new patients
County of Santa Clara Current Accepting new patients
Momentum for Health CurrentSince Jun 27, 2022 Accepting new patients
County of Santa Clara CurrentSince Sep 23, 2021 Accepting new patients

Locations

2001 Dwight Way
Rm 4190
Berkeley, CA 94704
Phone (510) 204-4635

2020 Milvia St
Ste 440
Berkeley, CA 94704
Phone (510) 204-4635

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

75 Rowland Way
Ste 220
Novato, CA 94945
Phone (628) 336-5460

401 Parnassus Ave
#984
San Francisco, CA 94143
Phone (415) 476-7527

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

1922 The Alameda
Ste 316
San Jose, CA 95126
Phone (408) 207-0565

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

2001 The Alameda
San Jose, CA 95126
Phone (408) 938-6750

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

Interoperability endpoints

  • Direct secure messaging: ltipton187490@direct-ucsfmedicalcenter.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1881191591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 ROWLAND WAY STE 220",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949455039",
            "telephone_number": "682-336-5460",
            "fax_number": "628-240-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 ROWLAND WAY STE 220",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949455039",
            "telephone_number": "682-336-5460",
            "fax_number": "628-240-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPTON",
        "first_name": "LAUREN",
        "middle_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-09",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A166413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novato, CA

Sources for this page

Verify at the official NPI Registry.