Gregory John Tarasoff, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A60464 Issued in CA

Practice address

2600 S El Camino Real
San Mateo, CA 94403-2380

Phone

(650) 373-0777

NPI assigned

May 27, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Department of State Hospitals

  • Psychiatric Hospital
  • Coalinga, CA
  • NPI 1124078704
  NPD
• Felton Institute

  • Community/Behavioral Health Agency
  • Alameda, CA
  • NPI 1144551581
  NPD
• University of California San Francisco

  • Pediatrics Physician
  • San Francisco, CA
  • NPI 1861578973
  NPD
• Caminar

  • Adult Mental Health Clinic/Center
  • Redwood City, CA
  • NPI 1003145657
  NPD (past)
• Caminar

  • Mental Illness Community Based Residential Treatment Facility
  • Fairfield, CA
  • NPI 1639217029
  NPD (past)
• Felton Institute

  • Community/Behavioral Health Agency
  • San Mateo, CA
  • NPI 1417222084
  NPD (past)

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1992963961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 S EL CAMINO REAL STE 100",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944032381",
            "telephone_number": "650-373-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 S EL CAMINO REAL",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944032380",
            "telephone_number": "650-373-0777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1234 Empire St",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945335711",
            "country_code": "US",
            "telephone_number": "707-648-8121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "902 Tuolumne St",
            "address_purpose": "LOCATION",
            "city": "Vallejo",
            "state": "CA",
            "postal_code": "945904641",
            "country_code": "US",
            "telephone_number": "707-648-8021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 California Dr",
            "address_2": "Mental Health Crisis Bed Facility",
            "address_purpose": "LOCATION",
            "city": "Vacaville",
            "state": "CA",
            "postal_code": "95687",
            "country_code": "US",
            "telephone_number": "707-448-6841 x5452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TARASOFF",
        "first_name": "GREGORY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-27",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A60464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allan Tao
• You Chen Tao, DDS, MS
• Emily D Taormino
• Maribel Tapia
• James Gregory Tappan, M.D.
• Andrew Tardiff, PSYD
• Karren P Tart, L.AC.
• Tina Tat
• William Reeves Tatomer, MD
• Tavakolian DDS, Inc.

• Psychiatry Physician in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.