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TAMANA MEHDAVI
NPI 1629639984
Nurse Practitioner in Hayward, CA

Active since June 26, 2019PECOS Enrolled
22331 MISSION BLVD, HAYWARD, CA 94541(510) 471-5907 Get Directions Write a Review

NPPES record last updated: June 26, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tamana Mehdavi NPPES

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

TAMANA MEHDAVI (NPI 1629639984) is an individual nurse practitioner in Hayward, California, licensed in California (95010487) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629639984
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTAMANA MEHDAVI
Location Address22331 MISSION BLVDHayward, CA 94541-3911
Mailing Address651 Folsom Ave # AHayward, CA 94544-6404 · (510) 789-7388
Phone(510) 471-5907
Sole ProprietorNo
Enumeration DateJune 26, 2019
✔ NPI 1629639984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95010487
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
22331 MISSION BLVD, Hayward, CA 94541
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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)

Tamana Mehdavi 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 94541 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.

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. EUNICE DIZON DDS
Dentist (General Practice)
22331 MISSION BLVD
HAYWARD, CA 94541
Alameda County (510) 471-5880
DR. MELISSA ROSE MD
Pediatrics
22331 MISSION BLVD
HAYWARD, CA 94541
Alameda County (510) 471-5880
TIBURCIO VASQUEZ HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
22331 MISSION BLVD
HAYWARD, CA 94541
Alameda County (510) 471-5880
JASMINE SANCHEZ RIVAS
Dentist
22331 MISSION BLVD
HAYWARD, CA 94541
Alameda County (510) 471-5880
NATALIE RAMIREZ CNM
Advanced Practice Midwife
22331 MISSION BLVD
HAYWARD, CA 94541
Alameda County (510) 471-5880
GABRIELA MARIA CHICA
Nurse Practitioner (Pediatrics)
22331 MISSION BLVD
HAYWARD, CA 94541
Alameda County (510) 471-5907
JESSICA PRICE FNP-C
Nurse Practitioner
22331 MISSION BLVD
HAYWARD, CA 94541
Alameda County (510) 471-5880
JACQUELINE JOYA B.S
Counselor
22331 MISSION BLVD
HAYWARD, CA 94541
Alameda County (510) 471-5880

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 Tamana Mehdavi's NPI number?

The NPI number for Tamana Mehdavi is 1629639984. It was assigned to this individual provider in the NPPES registry on June 26, 2019.

Where is Tamana Mehdavi located?

Tamana Mehdavi practices at 22331 Mission Blvd, Hayward, CA 94541. The listed phone number is (510) 471-5907.

What is Tamana Mehdavi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Tamana Mehdavi enrolled in Medicare?

Yes. Tamana Mehdavi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tamana Mehdavi was last updated on June 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.