Individual provider Active NPI

Tanya Joe Judge, MD

  • Plastic and Reconstructive Surgery Physician
  • San Francisco, CA
National Provider Identifier
1902048382
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
A117707 Issued in CA
Practice address
1199 Bush St Ste 490
San Francisco, CA 94109-5987
Phone
(415) 409-9760
Fax
(415) 358-1879
NPI assigned
Mar 31, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X A117707 CA Primary

Addresses

Primary practice location

1199 Bush St Ste 490
San Francisco, CA 94109-5987

Mailing address

1199 Bush St Ste 490
San Francisco, CA 94109-5987
Phone (415) 409-9760

Other names 1

  • Naina Tanya Joe Judge Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A117707CAMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Judge MD Inc Plastic and Reconstructive Surgery CurrentSince Dec 7, 2025 Accepting new patients

Locations

1199 Bush St
Ste 490
San Francisco, CA 94109
Phone (415) 409-9760

Organizations & group practices 1

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": "1238457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1902048382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 BUSH ST STE 490",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095987",
            "telephone_number": "415-409-9760",
            "fax_number": "415-358-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 BUSH ST STE 490",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095987",
            "telephone_number": "415-409-9760",
            "fax_number": "415-358-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDGE",
        "first_name": "TANYA",
        "middle_name": "JOE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-31",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A117707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAINA TANYA",
            "last_name": "JUDGE",
            "middle_name": "JOE",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.