TARA VON KLEIST MD
NPI 1114308095
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since June 16, 2015PECOS Enrolled
200 W ARBOR DR, SAN DIEGO, CA 92103(619) 543-7760 Get Directions Write a Review

NPPES record last updated: November 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tara Von Kleist Md NPPES

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

TARA VON KLEIST MD (NPI 1114308095) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114308095
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTARA VON KLEISTCredential: MD
Location Address200 W ARBOR DRSan Diego, CA 92103-9000
Mailing Address200 W Arbor DrSan Diego, CA 92103-9000
Sole ProprietorNo
Enumeration DateJune 16, 2015
Last NPPES UpdateNovember 16, 2019
NPI 1114308095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
200 W ARBOR DR, San Diego, CA 92103

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tara Von Kleist Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Geriatric Medicine)
200 W ARBOR DR
SAN DIEGO, CA 92103
Hospice, Inpatient
200 W ARBOR DR
SAN DIEGO, CA 92103
Anesthesiology
200 W ARBOR DR
SAN DIEGO, CA 92103
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
Nurse Practitioner (Psychiatric/Mental Health)
200 W ARBOR DR
SAN DIEGO, CA 92103
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR
SAN DIEGO, CA 92103
Physician Assistant (Surgical)
200 W ARBOR DR
SAN DIEGO, CA 92103

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 Tara Von Kleist's NPI number?

The NPI number for Tara Von Kleist is 1114308095. It was assigned to this individual provider in the NPPES registry on June 16, 2015.

Where is Tara Von Kleist located?

Tara Von Kleist practices at 200 W Arbor Dr, San Diego, CA 92103. The listed phone number is (619) 543-7760.

What is Tara Von Kleist's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Tara Von Kleist enrolled in Medicare?

Yes. Tara Von Kleist is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tara Von Kleist was last updated on November 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.