Active NPI
Tanya Kailath, GNP-BC
- Gerontology Nurse Practitioner
- El Cerrito, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 19491
- Practice address
- 10690 San Pablo Ave
El Cerrito, CA 94530-2620 - Phone
- (916) 813-5212
- NPI assigned
- Dec 1, 2009
- Last updated
- Dec 5, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19491 | CA | MD | Behavior Technician |
| 277871 | MA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nightingale Clinical Care, PC | Current | 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
- 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.
-
- Primary Care Clinic/Center
- Riverside, CA
- NPI 1972159069
-
- Nurse Practitioner
- El Segundo, CA
- NPI 1821673005
-
- PACE Provider Organization
- Oakland, CA
- NPI 1245371061
-
dba Kelley Corners Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Lake City, SC
- NPI 1598204802
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.