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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: July 26, 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, and ordering and referring status from the CMS PECOS system.

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.

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.

When was this NPI record last updated?

The NPPES record for Stephanie Tangsombatvisit was last updated on August 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.