Individual provider Active NPI

Tamara Hooper

  • Family Nurse Practitioner
  • Stockton, CA
National Provider Identifier
1891005112
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95028921 Issued in CA
Practice address
3591 Quail Lakes Dr Apt 25
Stockton, CA 95207-5251
Phone
(717) 681-8317
NPI assigned
Oct 20, 2010
Last updated
Apr 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95028921 CA Primary

Addresses

Primary practice location

3591 Quail Lakes Dr Apt 25
Stockton, CA 95207-5251

Mailing address

178 Wyoming Ave
Enola, PA 17025-2428
Phone (717) 681-8317

Other practice location 1

1470 Civic Ct Ste 310A
Concord, CA 94520-5230
Phone (925) 391-2255

Other practice location 2

178 Wyoming Ave
Enola, PA 17025-2428
Phone (717) 681-8317

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
I20240429002979 CA Practitioner - Nurse Practitioner 4981044617 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PPM California LLCGroup PAC ID 0749655538, 2 clinicians

Practice addresses (Care Compare)

Concord, CA 94520
Phone (888) 253-6598

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eden Landing Healthcare LLC CurrentSince Feb 16, 2026 Accepting new patients
PPM California LLC CurrentSince Feb 16, 2026 Accepting new patients

Locations

1470 Civic Ct
Ste 310
Concord, CA 94520
Phone (925) 246-5233

1470 Civic Ct
Ste 310A
Concord, CA 94520
Phone (925) 391-2255

1916 N 700 W
Ste 110
Layton, UT 84041
Phone (801) 444-0221

Interoperability endpoints

  • Direct secure messaging: thooper16213@direct-prd.molinahealthcare.com

Organizations & group practices 5

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.

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": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1891005112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 WYOMING AVE",
            "city": "ENOLA",
            "state": "PA",
            "postal_code": "170252428",
            "telephone_number": "717-681-8317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3591 QUAIL LAKES DR APT 25",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075251",
            "telephone_number": "717-681-8317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1470 Civic Ct Ste 310A",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945205230",
            "country_code": "US",
            "telephone_number": "925-391-2255",
            "fax_number": "925-390-1896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "178 Wyoming Ave",
            "address_purpose": "LOCATION",
            "city": "Enola",
            "state": "PA",
            "postal_code": "170252428",
            "country_code": "US",
            "telephone_number": "717-681-8317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOOPER",
        "first_name": "TAMARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95028921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.