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STEPHANIE TANGSOMBATVISIT MD
NPI 1386030955
Pediatrics in Oakland, CA

Active since April 10, 2015PECOS Enrolled
747 52ND ST FL 4, OAKLAND, CA 94609(510) 428-8339 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 11, 2024, Aug 24, 2018 (2 updates tracked since 2018).

About Stephanie Tangsombatvisit Md NPPES

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

STEPHANIE TANGSOMBATVISIT MD (NPI 1386030955) is an individual pediatrics provider in Oakland, California, licensed in California (A146823) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386030955
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSTEPHANIE TANGSOMBATVISITCredential: MD
Location Address747 52ND ST FL 4Oakland, CA 94609-1809
Mailing Address3505 BroadwayOakland, CA 94611-5714
Phone(510) 428-8339
Sole ProprietorYes
Enumeration DateApril 10, 2015
Last NPPES UpdateAugust 28, 20252 updates tracked since enumeration
NPPES CertifiedAugust 28, 2025
✔ NPI 1386030955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A146823
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.
Also ListedPediatrics · Developmental - Behavioral PediatricsTaxonomy 2080P0006X · License A146823 (CA)
747 52ND ST FL 4, Oakland, CA 94609
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Tangsombatvisit 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.

Medicare Billing Reassignments

5

Medicare enrollment records show Stephanie Tangsombatvisit reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Permanente Medical Group Inc
8.6 mi
Internal Medicine
901 NEVIN
Richmond, CA 94801
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1235226531 (510) 307-1555
University Of California San Francisco
12 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
12 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
Ucsf Pediatrics Associates
12 mi
Pediatrics
505 PARNASSUS AVE
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 1,159 clinicians in this Medicare group
NPI 1376614016 (415) 353-2000
Regents Of The Univ Of Ca
56 mi
Medical Microbiology
3146 TUPPER HALL
Davis, CA 95616
  • Reassigned Medicare billing, California enrollment
  • 2,570 clinicians in this Medicare group
NPI 1053304071 (530) 752-9402

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94609 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Stephanie Tangsombatvisit's NPI number?

The NPI number for Stephanie Tangsombatvisit is 1386030955. It was assigned to this individual provider in the NPPES registry on April 10, 2015.

Where is Stephanie Tangsombatvisit located?

Stephanie Tangsombatvisit practices at 747 52nd St Fl 4, Oakland, CA 94609. The listed phone number is (510) 428-8339.

What is Stephanie Tangsombatvisit's specialty?

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

Is Stephanie Tangsombatvisit enrolled in Medicare?

Yes. Stephanie Tangsombatvisit is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stephanie Tangsombatvisit's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Tangsombatvisit reassigns Medicare benefits to 5 organizations: Permanente Medical Group Inc (Richmond, CA), University Of California San Francisco (San Francisco, CA), Ucsf Medical Group Business Services (San Francisco, CA), Ucsf Pediatrics Associates (San Francisco, CA) and Regents Of The Univ Of Ca (Davis, 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 Stephanie Tangsombatvisit'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 Stephanie Tangsombatvisit was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.