Individual provider Active NPI

Tanya Kailath, GNP-BC

  • Gerontology Nurse Practitioner
  • El Cerrito, CA
National Provider Identifier
1932437076
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
19491 Issued in CA
Practice address
10690 San Pablo Ave
El Cerrito, CA 94530-2620
Phone
(916) 813-5212
NPI assigned
Dec 1, 2009
Last updated
Dec 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 19491 CA Primary
Primary Care Nurse Practitioner 363LP2300X 277871 MA

Addresses

Primary practice location

10690 San Pablo Ave
El Cerrito, CA 94530-2620

Mailing address

10690 San Pablo Ave # Ca
El Cerrito, CA 94530-2620

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
I20100316000740 CA Practitioner - Nurse Practitioner 8628103637 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Greater Good Health PC IncGroup PAC ID 5294106027, 48 clinicians
Nightingale Clinical Care PCGroup PAC ID 2365871464, 12 clinicians

Practice addresses (Care Compare)

300 Continental Blvd
Suite 635
El Segundo, CA 90245-5040
Phone (310) 658-3775

312 S Fairmont Ave
Suite a
Lodi, CA 95240-3840
Phone (805) 434-3473

6090 W Ramsey St
Banning, CA 92220-3052
Phone (800) 424-6589

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19491CAMDBehavior Technician
277871MAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nightingale Clinical Care, PC CurrentSince Nov 24, 2024 Accepting new patients
Center for Elders Independence Past Accepting new patients
Total Renal Care Inc Past Accepting new patients

Locations

2438 N Ponderosa Dr
Ste C101
Camarillo, CA 93010
Phone (559) 664-9252

4445 Riverside Dr
Chino, CA 91710
Phone (760) 202-3491

510 E North Way
Dinuba, CA 93618
Phone (209) 473-2294

10690 San Pablo Ave
El Cerrito, CA 94530
Phone (510) 528-9590

11690 San Pablo Ave
El Cerrito, CA 94530

501 E Almond Ave
Madera, CA 93637
Phone (559) 664-9252

3001 Health Care Way
Ste 102
Modesto, CA 95356
Phone (559) 664-9255

78030 Wildcat Dr
Ste 101
Palm Desert, CA 92211
Phone (908) 845-4494

320 James Way
Ste 100
Pismo Beach, CA 93449
Phone (209) 827-3973

3 Rossi Cir
Unit A
Salinas, CA 93907
Phone (760) 371-7506

9850 Carmel Mountain Rd
San Diego, CA 92129
Phone (805) 764-0171

555 W Benjamin Holt Dr
Ste 200
Stockton, CA 95207
Phone (661) 725-1370

50 W Syracuse Ave
Turlock, CA 95380
Phone (209) 656-7299

30730 Russell Ranch Rd
Ste A
Westlake Village, CA 91362
Phone (805) 643-7549

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GIGICA

Organizations & group practices 4

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": "1259625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1932437076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10690 SAN PABLO AVE # CA",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945302620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10690 SAN PABLO AVE",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945302620",
            "telephone_number": "916-813-5212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAILATH",
        "first_name": "TANYA",
        "credential": "GNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-01",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "19491",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "277871",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cerrito, CA

Sources for this page

Verify at the official NPI Registry.