Active NPI
Jiawei Tabayoyong, NP
- Psychiatric/Mental Health Nurse Practitioner
- Brentwood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95030902
- Practice address
- 2400 Balfour Rd Ste 201
Brentwood, CA 94513-4952 - Phone
- (925) 308-8170
- Fax
- (925) 308-8159
- NPI assigned
- Dec 21, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 810171 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95030902 | CA | Primary |
Addresses
Primary practice location
2400 Balfour Rd Ste 201
Brentwood, CA 94513-4952
Mailing address
1450 Treat Blvd Ste 300
Walnut Creek, CA 94597-2168
Phone (925) 952-2828
Other practice location 1
1450 Treat Blvd Ste 250A
Walnut Creek, CA 94597-2168
Phone (925) 296-9860
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, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2400 Balfour Rd
Suite 201
Brentwood, CA 94513-4952
Phone (925) 308-8218
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Muir Physician Network | Current | Accepting new patients |
Locations
2400 Balfour Rd
Ste 201
Brentwood, CA 94513
Phone (925) 308-8112
2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112
2400 Balfour Rd
Brentwood, CA 94513
Phone (925) 308-8100
1450 Treat Blvd
Ste 250A
Walnut Creek, CA 94597
Phone (925) 296-9740
1450 Treat Blvd
Ste 300
Walnut Creek, CA 94597
1914 Tice Valley Blvd
Walnut Creek, CA 94595
Phone (925) 372-8780
Interoperability endpoints
- jtabayoyong21238@ehr.johnmuirhealth.com
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.
-
- General Practice Physician
- Walnut Creek, CA
- NPI 1841407665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734048000000",
"number": "1932811890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 TREAT BLVD STE 300",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945972168",
"telephone_number": "925-952-2828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 BALFOUR RD STE 201",
"city": "BRENTWOOD",
"state": "CA",
"postal_code": "945134952",
"telephone_number": "925-308-8170",
"fax_number": "925-308-8159"
}
],
"practiceLocations": [
{
"address_1": "1450 Treat Blvd Ste 250A",
"address_purpose": "LOCATION",
"city": "Walnut Creek",
"state": "CA",
"postal_code": "945972168",
"country_code": "US",
"telephone_number": "925-296-9860",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TABAYOYONG",
"first_name": "JIAWEI",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-21",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "CA",
"license": "810171",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95030902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.