Individual provider Active NPI

Tammy Elizabeth Prado

  • Family Nurse Practitioner
  • Simi Valley, CA
National Provider Identifier
1962036285
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95013649 Issued in CA
Practice address
1424 Madera Rd
Simi Valley, CA 93065-3053
Phone
(805) 522-5722
Fax
(805) 915-4141
NPI assigned
Feb 25, 2020
Last updated
Oct 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95013649 CA Primary

Addresses

Primary practice location

1424 Madera Rd
Simi Valley, CA 93065-3053

Mailing address

1040 Flynn Rd
Camarillo, CA 93012-8705
Phone (805) 673-3930

Other practice location 1

1000 Newbury Rd Ste 150
Newbury Park, CA 91320-6438
Phone (805) 498-3640

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
I20200622002826 CA Practitioner - Nurse Practitioner 7214359165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinicas del Camino Real IncGroup PAC ID 3173434396, shared by 16 NPIs, 99 clinicians

Practice addresses (Care Compare)

1000 Newbury Rd
Suite 150
Newbury Park, CA 91320-6438
Phone (805) 498-3640

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Family Health Care, a Professional Corporation CurrentSince Sep 9, 2022 Accepting new patients

Locations

3300 Buena Vista Rd
Ste K
Bakersfield, CA 93311
Phone (661) 664-1682

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25086/brand/1/csg/1/fhir/r4
  • Direct secure messaging: tammy.prado-yang.1@25086.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1962036285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 FLYNN RD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930128705",
            "telephone_number": "805-673-3930",
            "fax_number": "805-659-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 MADERA RD",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653053",
            "telephone_number": "805-522-5722",
            "fax_number": "805-915-4141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Newbury Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Newbury Park",
            "state": "CA",
            "postal_code": "913206438",
            "country_code": "US",
            "telephone_number": "805-498-3640",
            "fax_number": "805-498-3641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRADO",
        "first_name": "TAMMY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-25",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95013649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

Verify at the official NPI Registry.