DR. GREGORY JOHN TARASOFF (NPI# 1992963961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992963961 |
| Entity Type | Individual |
| Full Name | DR. GREGORY JOHN TARASOFF |
| Credential | MD |
| Practice Address |
2600 S El Camino Real San Mateo CA 94403-2380 |
| Mailing Address |
2600 S El Camino Real Ste 100 San Mateo CA 94403-2381 |
| Practice Telephone | 6503730777 |
| Mailing Telephone | 6503730777 |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2019-10-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A60464 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1234 Empire St, Fairfield, CA 945335711 | 7076488121 | |
| 1600 California Dr, Mental Health Crisis Bed Facility, Vacaville, CA 95687 | 7074486841 | |
| 902 Tuolumne St, Vallejo, CA 945904641 | 7076488021 |
| Street Address |
2600 S EL CAMINO REAL |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94403-2380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326115452 | Damon Nim | Counselor | 2600 S El Camino Real, San Mateo, CA 94403-2380 | 2006-11-30 |
| 1275154254 | Pamela Patton | Case Manager/Care Coordinator | 2600 S El Camino Real, San Mateo, CA 94403-2380 | 2020-05-01 |
| 1891324703 | Jacqueline Frances Rutgers | Case Manager/Care Coordinator | 2600 S El Camino Real, San Mateo, CA 94403-2380 | 2020-04-02 |
| 1518591726 | Melody Pagan | Registered Nurse | 2600 S El Camino Real, San Mateo, CA 94403-2380 | 2020-02-26 |
| 1528604931 | Kaitlyn Kylie Paris | Registered Nurse | 2600 S El Camino Real, San Mateo, CA 94403-2380 | 2019-11-20 |
| 1851940928 | Katareena Done | Student in an Organized Health Care Education/Training Program | 2600 S El Camino Real, San Mateo, CA 94403-2380 | 2019-09-10 |
| 1073169496 | Lee Anthony Piombo | Community Health Worker | 2600 S El Camino Real, San Mateo, CA 94403-2380 | 2019-08-12 |
| 1265088603 | Alison Barrera | Community Health Worker | 2600 S El Camino Real, San Mateo, CA 94403-2380 | 2019-08-12 |
| 1871153890 | Safat Azmi Mubarak | Counselor | 2600 S El Camino Real, San Mateo, CA 94403-2380 | 2019-06-20 |
| 1578024154 | Candice Raine Harbison | Registered Nurse | 2600 S El Camino Real, San Mateo, CA 94403-2380 | 2019-03-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710520903 | Happy Enerqi LLC | Acupuncturist | 5 43rd Ave, San Mateo, CA 94403 | 2019-10-21 |
| 1740840396 | Vincent Wing Ching Fong | Marriage & Family Therapist | 2600 S. El Camino Real Suite 200, San Mateo, CA 94403 | 2019-06-17 |
| 1861056426 | Denise Gaytan | Licensed Vocational Nurse | 2600 El Camino, San Mateo, CA 94403 | 2019-04-29 |
| 1134686991 | Connie Markoff | Counselor | 3827 Fernwood St, San Mateo, CA 94403 | 2019-02-27 |
| 1467965392 | Happyqi Inc | Acupuncturist | 5 43rd Ave., San Mateo, CA 94403 | 2017-11-14 |
| 1710403092 | John Luu | Chiropractor | 3153 Campus Dr, San Mateo, CA 94403 | 2017-08-17 |
| 1477009033 | Latifunisa Lilani | Community Health Worker | 2600 El Camino Real, San Mateo, CA 94403 | 2016-09-01 |
| 1881029874 | Juan Carlos Friesen | Licensed Vocational Nurse | 2600 S. El Camino, Suite #200, San Mateo, CA 94403 | 2013-09-09 |
| 1619300423 | Emily Rodda | Nurse Practitioner | 222 W. 39th Avenue, San Mateo Medical Center - Pediatric Clinic, San Mateo, CA 94403 | 2013-08-15 |
| 1619309549 | Maria Lucila Echeverria-bustios | Counselor | 1911 Ivy St., San Mateo, CA 94403 | 2013-08-02 |
| Find all providers in zip 94403 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548779564 | Ann L Johnson | Psychiatry & Neurology | 1 Franklin Pkwy, San Mateo, CA 94403-1906 | 2017-09-21 |
| 1609294768 | Vikas Duvvuri Md Phd A Professional Corporation | Psychiatry & Neurology | 1941 Ofarrell St Ste 106, San Mateo, CA 94403-1374 | 2014-04-04 |
| 1033475256 | Mariel Herbert | Psychiatry & Neurology | 181 2nd Ave Ste 450, San Mateo, CA 94401-3814 | 2012-04-02 |
| 1093009102 | Allan Levy | Psychiatry & Neurology | 50 Mounds Rd, 503, San Mateo, CA 94402-1272 | 2011-06-06 |
| 1790931228 | Morris Kace, M.d., A Professional Corp. | Psychiatry & Neurology | 611 N San Mateo Dr, San Mateo, CA 94401-2381 | 2008-08-15 |
| 1669665949 | Estelle Gregory | Psychiatry & Neurology | 498 Fathom Dr, San Mateo, CA 94404-1004 | 2007-08-21 |
| 1770709263 | Mark David Levine, Md Burlingame PC | Psychiatry & Neurology | 999 Baker Way, Ste 420, San Mateo, CA 94404-1578 | 2007-04-17 |
| 1689793267 | Christian Ernest Vondoepp | Psychiatry & Neurology | 327 North San Mateo Drive, Suite 10, San Mateo, CA 94401-2585 | 2007-03-28 |
| 1255470480 | Vikas Duvvuri | Psychiatry & Neurology | 1941 Ofarrell St, Suite 106, San Mateo, CA 94403-1340 | 2007-02-05 |
| 1669525911 | Farzana Amin | Psychiatry & Neurology | 1710 S Amphlett Blvd, Suite 301, San Mateo, CA 94402-2703 | 2007-01-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.