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

Q: 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.

Q: What is Nicole Tantoco's specialty?

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

Q: 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.

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: November 01, 2026.

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

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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

Phone(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

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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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

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

Sutter Bay Medical Foundation

2,403 mi

Multi-Specialty

795 EL CAMINO REAL
Palo Alto, CA 94301

Reassigned Medicare billing, California enrollment
4,479 clinicians in this Medicare group

NPI 1013950807 (650) 321-4121

Sutter Community Health

2,406 mi

Clinic/Center

350 30TH ST, STE 205
Oakland, CA 94609

Reassigned Medicare billing, California enrollment
19 clinicians in this Medicare group

NPI 1811021405 (510) 869-8425

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 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.

DR. HEIDI M. SOLBERG-SHANKLE MD

Emergency Medicine