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TARA ZANDVLIET M.D.
NPI 1821020157
Pediatrics in San Diego, CA

Active since July 07, 2006Opted out of Medicare · through Jan 27, 2027
2525 CAMINO DEL RIO SOUTH, SUITE 130, ROOM 3, SAN DIEGO, CA 92108(619) 929-0032(208) 728-8168 Get Directions Write a Review

NPPES record last updated: May 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 16, 2023, Apr 12, 2022, Jul 2, 2018 (3 updates tracked since 2018).

About Tara Zandvliet M.d. NPPES

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

TARA ZANDVLIET M.D. (NPI 1821020157) is an individual pediatrics provider in San Diego, California, licensed in California (A71646) and active in the NPI registry since July 2006. She has opted out of Medicare through January 27, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1821020157
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameTARA ZANDVLIETCredential: M.D.
Location Address2525 CAMINO DEL RIO SOUTH, SUITE 130, ROOM 3San Diego, CA 92108-3718
Mailing Address5694 Mission Center Rd # 602-362San Diego, CA 92108-4355 · (619) 929-0032 · Fax (208) 728-8168
Phone(619) 929-0032
Fax(208) 728-8168
Sole ProprietorNo
Enumeration DateJuly 7, 2006
Last NPPES UpdateMay 16, 20233 updates tracked since enumeration
NPPES CertifiedMay 16, 2023
✔ NPI 1821020157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A71646
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.
2525 CAMINO DEL RIO SOUTH, San Diego, CA 92108
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Tara Zandvliet M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 27, 2015 through January 27, 2027.

Opt-Out Effective DateJanuary 27, 2015
Opt-Out In Effect ThroughJanuary 27, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92108 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INADVANCE MEDICINE ASSOCIATES WEST, P.C.
Clinic/Center
2525 CAMINO DEL RIO SOUTH, SUITE 325
SAN DIEGO, CA 92108
San Diego County (877) 358-8646

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 Tara Zandvliet's NPI number?

The NPI number for Tara Zandvliet is 1821020157. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Tara Zandvliet located?

Tara Zandvliet practices at 2525 Camino Del Rio South Suite 130, Room 3, San Diego, CA 92108. The listed phone number is (619) 929-0032.

What is Tara Zandvliet's specialty?

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

Is Tara Zandvliet enrolled in Medicare?

No. Tara Zandvliet has opted out of Medicare through January 27, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Tara Zandvliet was last updated on May 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.