NICOLE TANTOCO MD, MPH
NPI 1609370543
Obstetrics & Gynecology in Honolulu, HI

Active since March 23, 2018PECOS EnrolledAccepts Medicare Assignment
3288 MOANALUA RD, HONOLULU, HI 96819(925) 858-8100 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 10, 2021, Jan 30, 2020, Mar 23, 2018 (3 updates tracked since 2018).

About Nicole Tantoco Md, Mph NPPES

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

NICOLE TANTOCO MD, MPH (NPI 1609370543) is an individual obstetrics & gynecology provider in Honolulu, Hawaii, licensed in California (A167321) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Francisco, and is a graduate of University Of California, San Francisco School Of Medicine (2022).

NPPES Registry Identity

NPI1609370543
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameNICOLE TANTOCOCredential: MD, MPH
Location Address3288 MOANALUA RDHonolulu, HI 96819-1469
Mailing Address1001 Potrero Ave # 6dSan Francisco, CA 94110-3518 · (925) 858-8100
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2022
Enumeration DateMarch 23, 2018
Last NPPES UpdateMarch 10, 20213 updates tracked since enumeration
NPPES CertifiedMarch 10, 2021
NPI 1609370543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in CA · A167321
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3288 MOANALUA RD, Honolulu, HI 96819

Secondary Practice Location 1

Location 11001 Potrero AveSan Francisco, CA 94110-3518 · Phone (415) 206-4069

Other Identifiers 1

MedicaidRES000CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nicole Tantoco Md, Mph 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 ID6800278490
PECOS Enrollment IDI20231019000598
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 96819 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
$136.68 typical visit price
range $60.53 – $180.05
Typical copayment $34.17 (range $15.13 – $45.01)
Most-billed visit code 99204
Established Patient
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Emergency Medicine
3288 MOANALUA RD
HONOLULU, HI 96819
Nurse Practitioner
3288 MOANALUA RD
HONOLULU, HI 96819
Internal Medicine (Cardiovascular Disease)
3288 MOANALUA RD
HONOLULU, HI 96819
Physical Therapist
3288 MOANALUA RD
HONOLULU, HI 96819
Hospitalist
3288 MOANALUA RD
HONOLULU, HI 96819
Pharmacist
3288 MOANALUA RD
HONOLULU, HI 96819
Nurse Practitioner (Family)
3288 MOANALUA RD
HONOLULU, HI 96819
Physician Assistant (Medical)
3288 MOANALUA RD
HONOLULU, HI 96819

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 Nicole Tantoco's NPI number?

The NPI number for Nicole Tantoco is 1609370543. It was assigned to this individual provider in the NPPES registry on March 23, 2018.

Where is Nicole Tantoco located?

Nicole Tantoco practices at 3288 Moanalua Rd, Honolulu, HI 96819. The listed phone number is (925) 858-8100.

What is Nicole Tantoco's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Nicole Tantoco enrolled in Medicare?

Yes. Nicole Tantoco 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.

When was this NPI record last updated?

The NPPES record for Nicole Tantoco was last updated on March 10, 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.