Lynne Tamara Tavera, A.N.P.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

13288 Issued in CA

Practice address

1750 El Camino Real Ste 11
Burlingame, CA 94010-3208

Phone

(650) 692-1373

Fax

(650) 692-4209

NPI assigned

Feb 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Columbia University College of Physicians and Surgeons, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

East Bay Center for Digestive Health Medical Associates IncGroup PAC ID 3072588383, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Alta Bates Summit Medical Center Hospital, Oakland, CA, CCN 050043
• Alta Bates Summit Medical Center - Alta Bates Camp Hospital, Berkeley, CA, CCN 050305
• Eden Medical Center Hospital, Castro Valley, CA, CCN 050488

Merit-based Incentive Payment System (MIPS)

Final score

88.69 of 100Reported as individual

Quality

64.29

Promoting interoperability

94

Improvement activities

40

Cost

86.36

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15506/brand/4/csg/1/fhir/r4
• Direct secure messaging: lynne.tavera.1@15506.direct.athenahealth.com

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.

• East Bay Center for Digestive Health Medical Associates, Inc

  • Gastroenterology Physician
  • Oakland, CA
  • NPI 1689782039
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sutter Bay Hospitals

  • General Acute Care Hospital
  • Castro Valley, CA
  • NPI 1063812907
  Care Compare affiliation
• Sutter Bay Hospitals

  • General Acute Care Hospital
  • Oakland, CA
  • NPI 1295181477
  Care Compare affiliation
• Sutter Bay Hospitals

  • General Acute Care Hospital
  • Berkeley, CA
  • NPI 1639523004
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952442535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 EL CAMINO REAL STE 11",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103208",
            "telephone_number": "650-692-1373",
            "fax_number": "650-692-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 EL CAMINO REAL STE 11",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103208",
            "telephone_number": "650-692-1373",
            "fax_number": "650-692-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVERA",
        "first_name": "LYNNE",
        "middle_name": "TAMARA",
        "name_prefix": "Ms.",
        "credential": "A.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "13288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ71317Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Therese Jane Ynson Tan, PHARMD
• Tara Tanaka, M.D.
• Nancy Tang
• Ken Yoshio Tanisawa, OD
• Michelle Mayumi Tapalla, MA, CCC-SLP
• David Charles Taylor, PHARM. D.
• Eric-Scott Tcheng, M.D.
• Tender Loving Care Health Care Services Western, LLC
• Diana Teng, MSN, AGNP
• Jessica Lam Teng, LMFT

• Adult Health Nurse Practitioner in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.