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MS. TARA ANN HODGE MED, ATC
NPI 1881006179
Specialist in San Rafael, CA

Active since May 21, 2014
1475 GRAND AVE., SAN RAFAEL, CA 94901(415) 482-1807(415) 482-1852 Get Directions Write a Review

NPPES record last updated: May 21, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Tara Ann Hodge Med, Atc NPPES

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

MS. TARA ANN HODGE MED, ATC (NPI 1881006179) is an individual specialist in San Rafael, California and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1881006179
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMS. TARA ANN HODGECredential: MED, ATC
Location Address1475 GRAND AVE.San Rafael, CA 94901
Mailing Address50 Acacia AveSan Rafael, CA 94901-2230 · (415) 482-1807 · Fax (415) 482-1852
Phone(415) 482-1807
Fax(415) 482-1852
Sole ProprietorNo
Enumeration DateMay 21, 2014
✔ NPI 1881006179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1475 GRAND AVE., San Rafael, CA 94901
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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 Hodge's NPI number?

The NPI number for Tara Hodge is 1881006179. It was assigned to this individual provider in the NPPES registry on May 21, 2014.

Where is Tara Hodge located?

Tara Hodge practices at 1475 Grand Ave., San Rafael, CA 94901. The listed phone number is (415) 482-1807.

What is Tara Hodge's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Tara Hodge was last updated on May 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.