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TAMALPAIS PEDIATRICS
NPI 1073580320
Pediatrics in Larkspur, CA

Active since March 07, 2006CLIA 05D0604750 · Waiver
5 BON AIR ROAD, STE. 105, LARKSPUR, CA 94939(415) 461-0440(415) 461-3792 Get Directions Write a Review

NPPES record last updated: June 3, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tamalpais Pediatrics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAMALPAIS PEDIATRICS (NPI 1073580320) is a healthcare organization registered as a pediatrics in Larkspur, California and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through February 18, 2027 and lists Nelson Branco, Corporate President, as its authorized official.

NPPES Registry Identity

NPI1073580320
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameTAMALPAIS PEDIATRICS
Location Address5 BON AIR ROAD, STE. 105Larkspur, CA 94939
Mailing Address5 Bon Air Road, Ste. 105Larkspur, CA 94939 · (415) 461-0440 · Fax (415) 461-3792
Phone(415) 461-0440
Fax(415) 461-3792
Organization SubpartNo
Authorized OfficialNelson BrancoCorporate President · (415) 461-0440
Enumeration DateMarch 7, 2006
Last NPPES UpdateJune 3, 2015
✔ NPI 1073580320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
5 BON AIR ROAD, Larkspur, CA 94939
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0604750

Tamalpais Pediatrics - A Ucsf Affiliate · Larkspur, CA
Active · expires Feb 18, 2027
CLIA Number05D0604750
Laboratory TypePhysician Office
Certificate Effective DateFebruary 19, 2025
Certificate Expiration DateFebruary 18, 2027
Laboratory DirectorErin N. Heath MD
Laboratory Phone(415) 461-0440
Laboratory LocationTamalpais Pediatrics - A Ucsf Affiliate5 Bon Air Rd Ste 105, Larkspur, CA 94939
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARA KOENIG CPNP
Nurse Practitioner (Pediatrics)
5 BON AIR ROAD, STE. 105
LARKSPUR, CA 94939
Marin County (415) 461-0440
DR. HELEN MICHELLE BIREN MD
Psychiatry & Neurology (Psychiatry)
5 BON AIR ROAD, SUITE 221
LARKSPUR, CA 94939
Marin County (415) 924-9375
JOHN MARSHALL HARVEY MD
Pediatrics
5 BON AIR ROAD, STE. 105
LARKSPUR, CA 94939
Marin County (415) 461-0440
JULIE BOKSER MD
Pediatrics
5 BON AIR ROAD, STE. 105
LARKSPUR, CA 94939
Marin County (415) 461-0440
NELSON BRANCO MD
Pediatrics
5 BON AIR ROAD, STE. 105
LARKSPUR, CA 94939
Marin County (415) 461-0440
ERIN NOEL HEATH MD
Pediatrics
5 BON AIR ROAD, STE. 105
LARKSPUR, CA 94939
Marin County (415) 461-0440
MS. MARGO ELIZABETH HANLAN PNP
Nurse Practitioner (Pediatrics)
5 BON AIR ROAD, STE. 105
LARKSPUR, CA 94939
Marin County (415) 461-0440

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tamalpais Pediatrics's NPI number?

The NPI number for Tamalpais Pediatrics is 1073580320. It was assigned to this organization in the NPPES registry on March 7, 2006.

Where is Tamalpais Pediatrics located?

Tamalpais Pediatrics is located at 5 Bon Air Road Ste. 105, Larkspur, CA 94939. The listed phone number is (415) 461-0440.

What is Tamalpais Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Tamalpais Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0604750) is associated with this NPI, valid through February 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tamalpais Pediatrics was last updated on June 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.