DR. NADINE D TANENBAUM MD NPI 1558383695

NPI Information

NPI: 1558383695
Provider Name: DR. NADINE D TANENBAUM, MD
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

PECOS Registration: Yes

Address:
3011 CERES AVE
SUITE 100
CHICO, CA
ZIP 95973
Phone: (530) 899-7090
Get Directions

DR. Nadine D Tanenbaum, MD is a nephrology internal medicine in Chico, CA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DR. Nadine D Tanenbaum, MD NPI is 1558383695. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3011 CERES AVE
SUITE 100
CHICO, CA
ZIP 95973-898
Phone: (530) 899-7090
Fax: (530) 899-2765

The NPI 1558383695 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/25/2006 and was last updated on 1/20/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RN0300X	Internal Medicine	Nephrology	2006009470	MISSOURI	No
2	207RN0300X	Internal Medicine	Nephrology	A110240	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	$$$$$$$$$	MEDICAID	ILLINOIS
2	PENDING	MEDICAID	CALIFORNIA
3	P00342080	MEDICARE PIN
4	201082203	MEDICAID	MISSOURI
5	960110183	MEDICARE PIN
6	PENDING	MEDICARE PIN	CALIFORNIA
7	H41137	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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