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JASON TINERO
NPI 1255919155
Psychologist - Clinical Child & Adolescent in Palo Alto, CA

Active since March 31, 2021PECOS EnrolledAccepts Medicare Assignment
650 CLARK WAY, PALO ALTO, CA 94304(650) 326-5530 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jason Tinero NPPES

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

JASON TINERO (NPI 1255919155) is an individual clinical child & adolescent provider in Palo Alto, California and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1255919155
Entity TypeIndividualMale
Primary Taxonomy103TC2200X
Provider Legal NameJASON TINERO
Location Address650 CLARK WAYPalo Alto, CA 94304-2300
Mailing Address1430 Gordon St Apt DRedwood City, CA 94061-2755 · (818) 294-3154
Phone(650) 326-5530
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 31, 2021
NPPES CertifiedMarch 31, 2021
✔ NPI 1255919155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
650 CLARK WAY, Palo Alto, CA 94304
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jason Tinero is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698117430
PECOS Enrollment IDI20240524002724
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jason Tinero reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of California San Francisco
27 mi
Surgery
400 PARNASSUS AVE, MCB 300
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 5,645 clinicians in this Medicare group
NPI 1346329380 (415) 353-2161
Ucsf Medical Group Business Services
27 mi
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94122
  • Reassigned Medicare billing, California enrollment
  • 5,544 clinicians in this Medicare group
NPI 1477624104 (415) 353-2808

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. ZAHRA MURTAZA PHD
Psychologist (Clinical Child & Adolescent)
650 CLARK WAY
PALO ALTO, CA 94304
Santa Clara County (650) 617-3829
KELLY DAWNE MCBRIDE LCSW
Social Worker (School)
650 CLARK WAY
PALO ALTO, CA 94304
Santa Clara County (650) 617-3834
KARLY CROCKETT
Social Worker (Clinical)
650 CLARK WAY
PALO ALTO, CA 94304
Santa Clara County (650) 326-5530
DANNA TORRES
Marriage & Family Therapist
650 CLARK WAY
PALO ALTO, CA 94304
Santa Clara County (650) 326-5530
MS. ROXANNA JEZREEL FLORES VELASCO MA
Psychologist
650 CLARK WAY
PALO ALTO, CA 94304
Santa Clara County (650) 326-5530
JAMIE QWAN
Marriage & Family Therapist
650 CLARK WAY
PALO ALTO, CA 94304
Santa Clara County (650) 326-5530
EILENE OZAWA
Occupational Therapist (Pediatrics)
650 CLARK WAY
PALO ALTO, CA 94304
Santa Clara County (650) 688-3690
DR. OLIVIA KATHLEEN MAZUR MCDONALD PSY.D.
Psychologist (Clinical)
650 CLARK WAY
PALO ALTO, CA 94304
Santa Clara County (650) 326-5530

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 Jason Tinero's NPI number?

The NPI number for Jason Tinero is 1255919155. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Where is Jason Tinero located?

Jason Tinero practices at 650 Clark Way, Palo Alto, CA 94304. The listed phone number is (650) 326-5530.

What is Jason Tinero's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Jason Tinero enrolled in Medicare?

Yes. Jason Tinero is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jason Tinero's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Tinero reassigns Medicare benefits to 2 organizations: University Of California San Francisco (San Francisco, CA) and Ucsf Medical Group Business Services (San Francisco, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jason Tinero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jason Tinero was last updated on March 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.