TARA GRIMES
NPI 1841949252
Student in an Organized Health Care Education/Training Program in San Jose, CA

Active since March 22, 2022PECOS EnrolledAccepts Medicare Assignment
276 INTERNATIONAL CIR, SAN JOSE, CA 95119(408) 972-6884 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tara Grimes NPPES

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

TARA GRIMES (NPI 1841949252) is an individual student in an organized health care education/training program in San Jose, California and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (2022).

NPPES Registry Identity

NPI1841949252
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTARA GRIMES
Location Address276 INTERNATIONAL CIRSan Jose, CA 95119-1130
Mailing Address276 International CirSan Jose, CA 95119-1130 · (408) 972-6884
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2022
Enumeration DateMarch 22, 2022
NPPES CertifiedMarch 22, 2022
NPI 1841949252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

276 INTERNATIONAL CIR, San Jose, CA 95119

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

Tara Grimes 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 ID2264979061
PECOS Enrollment IDI20250717003126
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.

Other Providers at the Same Location NPPES 19

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

Nurse Practitioner (Obstetrics & Gynecology)
276 INTERNATIONAL CIR
SAN JOSE, CA 95119
Nurse Practitioner (Women's Health)
276 INTERNATIONAL CIR
SAN JOSE, CA 95119
Pharmacist
276 INTERNATIONAL CIR
SAN JOSE, CA 95119
Family Medicine
276 INTERNATIONAL CIR
SAN JOSE, CA 95119
Pharmacy (Community/Retail Pharmacy)
276 INTERNATIONAL CIR
SAN JOSE, CA 95119
Student in an Organized Health Care Education/Training Program
276 INTERNATIONAL CIR, 1ST FLOOR UNIT D
SAN JOSE, CA 95119
Advanced Practice Midwife
276 INTERNATIONAL CIR
SAN JOSE, CA 95119
Family Medicine
276 INTERNATIONAL CIR
SAN JOSE, CA 95119

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841949252, enumerated as an "individual" on March 22, 2022.

The provider is located at 276 INTERNATIONAL CIR SAN JOSE, CA 95119 and the phone number is (408) 972-6884.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.