Individual provider Active NPI

Tara Powers Mathia, MD, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • San Francisco, CA
National Provider Identifier
1932685740
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
A182566 Issued in CA
Practice address
707 Parnassus Ave # D1201
San Francisco, CA 94143-2210
Phone
(415) 476-8220
NPI assigned
Jul 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X A182566 CA Primary
Surgery Physician 208600000X A182566 CA

Addresses

Primary practice location

707 Parnassus Ave # D1201
San Francisco, CA 94143-2210

Mailing address

707 Parnassus Ave # D1201
San Francisco, CA 94143-2210
Phone (415) 476-8220

Other names 1

  • Dr. Tara Powers Brantley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230414002100 OR Practitioner - Oral Surgery 2567868334 Reassigns benefits to 1 organization
I20240823002922 CA Practitioner - Oral Surgery 2567868334 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
University of California, San Francisco School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of California SFGH Medical GroupGroup PAC ID 5496668410, 566 clinicians
UCSF Oral and Maxillofacial SurgeryGroup PAC ID 1254223126, 6 clinicians

Practice addresses (Care Compare)

1001 Potrero Ave
San Francisco, CA 94110-3518

505 Parnassus Ave
San Francisco, CA 94143-2204

513 Parnassus Ave
San Francisco, CA 94143-2205
Phone (415) 476-9126

Hospital & facility affiliations

  • UCSF Medical Center Hospital, San Francisco, CA, CCN 050454
  • Zuckerberg San Francisco General Hosp & Trauma Ctr Hospital, San Francisco, CA, CCN 050228

Merit-based Incentive Payment System (MIPS)

Final score
97.28 of 100Reported as group
Quality
89.92
Promoting interoperability
100
Improvement activities
40
Cost
78.23

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A182566CAMDOral and Maxillofacial Surgery (Dentist)
136CAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Oral Medicine Clinic CurrentSince Sep 23, 2024 Accepting new patients
University of California San Francisco CurrentSince Sep 23, 2024 Accepting new patients
UCSF Medical Group Business Services Surgery CurrentSince Sep 23, 2024 Accepting new patients
University of California SFGH Medical Group CurrentSince Aug 23, 2024 Accepting new patients
City & County of San Francisco Current Accepting new patients
UCSF Oral & Maxillofacial Surgery Oral and Maxillofacial Surgery CurrentSince Sep 23, 2024 Accepting new patients
University of California San Francisco Surgery CurrentSince Sep 23, 2024 Accepting new patients
UCSF Medical Group Business Services CurrentSince Sep 23, 2024 Accepting new patients
City and County of San Francisco CurrentSince Aug 27, 2024 Accepting new patients
University of California SFGH Medical Group CurrentSince Aug 23, 2024 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
City & County of San Francisco CurrentSince Aug 27, 2024 Accepting new patients
University of California San Francisco Current Accepting new patients
Legacy Clinics LLC CurrentSince Apr 12, 2023 Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

533 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-7192

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

707 Parnassus Ave
#D1201
San Francisco, CA 94143
Phone (415) 476-1316

533 Parnassus Ave
#10
San Francisco, CA 94143
Phone (415) 476-1316

513 Parnassus Ave
Rm S722
San Francisco, CA 94143
Phone (415) 476-2045

1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

1975 4th St
San Francisco, CA 94143
Phone (415) 353-3000

513 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-1239

520 Illinois St
San Francisco, CA 94143
Phone (415) 353-9188

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

1001 Potrero Ave
Fl 1
San Francisco, CA 94110
Phone (628) 206-8000

1001 Potrero Ave
Rm 3A32
San Francisco, CA 94110
Phone (628) 206-8291

300 N Graham St
Ste 125
Portland, OR 97227
Phone (503) 413-3714

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

Interoperability endpoints

  • Direct secure messaging: tbrantley87353@direct-ucsfmedicalcenter.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 3

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": "1531612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1932685740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 PARNASSUS AVE # D1201",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432210",
            "telephone_number": "415-476-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 PARNASSUS AVE # D1201",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432210",
            "telephone_number": "415-476-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIA",
        "first_name": "TARA",
        "middle_name": "POWERS",
        "name_prefix": "Dr.",
        "credential": "MD, DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-15",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "A182566",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A182566",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "BRANTLEY",
            "middle_name": "POWERS",
            "prefix": "DR.",
            "credential": "MD, DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.