Active NPI
Nicole Tarui, M.D.
- Psychiatry Physician
- San Francisco, CA
National Provider Identifier
1922460054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A151405
- Practice address
- 401 Parnassus Ave
Box-0984
San Francisco, CA 94143-2211 - Phone
- (415) 476-7500
- NPI assigned
- Mar 28, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A151405 | CA | Primary |
Addresses
Primary practice location
401 Parnassus Ave
Box-0984
San Francisco, CA 94143-2211
Mailing address
401 Parnassus Ave
Box-0984
San Francisco, CA 94143-2211
Other practice location 1
1001 Potrero Ave Bldg 5-6B
San Francisco, CA 94110-3518
Phone (415) 206-5270
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200629001848 | CA | Practitioner - Psychiatry | 3274898960 | Practice locations: Mountain View, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of California, Geffen School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2500 Grant Rd
Mountain View, CA 94040-4302
Phone (650) 930-9461
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A151405 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatric Wellbeing for Women | Psychiatry | Current | Accepting new patients |
Locations
2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500
Interoperability endpoints
- ntarui71379@icare.elcaminohospital.org
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.
-
- Psychiatry Physician
- Mountain View, CA
- NPI 1306469705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561593600000",
"number": "1922460054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 PARNASSUS AVE",
"address_2": "BOX-0984",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941432211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 PARNASSUS AVE",
"address_2": "BOX-0984",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941432211",
"telephone_number": "415-476-7500"
}
],
"practiceLocations": [
{
"address_1": "1001 Potrero Ave Bldg 5-6B",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941103518",
"country_code": "US",
"telephone_number": "415-206-5270",
"fax_number": "415-206-4722",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TARUI",
"first_name": "NICOLE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-28",
"last_updated": "2019-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A151405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jun 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.