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JACQUELINE JOAN TASARZ MD
NPI 1942845318
Psychiatry & Neurology - Child & Adolescent Psychiatry in San Diego, CA

Active since November 08, 2019PECOS Enrolled
200 W ARBOR DR, SAN DIEGO, CA 92103(916) 816-7625 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 19, 2026, Dec 6, 2024, Jun 6, 2023 and 1 more (4 updates tracked since 2019).

About Jacqueline Joan Tasarz Md NPPES

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

JACQUELINE JOAN TASARZ MD (NPI 1942845318) is an individual child & adolescent psychiatry provider in San Diego, California, licensed in California (A187751) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1942845318
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameJACQUELINE JOAN TASARZCredential: MD
Location Address200 W ARBOR DRSan Diego, CA 92103-9000
Mailing Address200 W Arbor DrSan Diego, CA 92103-9000
Phone(916) 816-7625
Sole ProprietorNo
Enumeration DateNovember 8, 2019
Last NPPES UpdateMay 19, 20264 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
✔ NPI 1942845318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in CA · A187751
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License PTL7555 (CA), A187751 (CA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
200 W ARBOR DR, San Diego, CA 92103
Open in Google Maps ↗

Secondary Practice Location 1

Location 11809 National AveSan Diego, CA 92113-2113 · Phone (619) 515-2355

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Joan Tasarz Md 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.

Medicare Billing Reassignments

2

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

Family Health Centers Of San Diego Inc
0.3 mi
Federally Qualified Health Center (FQHC)
4094 4TH AVE
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 1,100 clinicians in this Medicare group
NPI 1629456900 (619) 515-2545
Community Research Foundation Inc
1.7 mi
Community/Behavioral Health
545 LAUREL ST
San Diego, CA 92101
  • Reassigned Medicare billing, California enrollment
  • 147 clinicians in this Medicare group
NPI 1225251812 (619) 233-4399

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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. RAMIN MOTARJEMI M.D.
Internal Medicine (Geriatric Medicine)
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (858) 249-2500
DR. KYLE PALMER EDMONDS M.D., FAAHPM
Hospice, Inpatient
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
SHAWN RAVEENTH VEDAMANI MD
Anesthesiology
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
DALE MICHAEL TRUJILLO NP
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
DR. EUGENE THOMAS RICHARDSON IV MD
Internal Medicine (Infectious Disease)
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
KAYLEE PETERSEN ARNP
Nurse Practitioner (Psychiatric/Mental Health)
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
IRENE NEVAREZ NP
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
WILLIAM JAMES MOSS M.D.
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (508) 395-4189

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 Jacqueline Tasarz's NPI number?

The NPI number for Jacqueline Tasarz is 1942845318. It was assigned to this individual provider in the NPPES registry on November 8, 2019.

Where is Jacqueline Tasarz located?

Jacqueline Tasarz practices at 200 W Arbor Dr, San Diego, CA 92103. The listed phone number is (916) 816-7625.

What is Jacqueline Tasarz's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Jacqueline Tasarz enrolled in Medicare?

Yes. Jacqueline Tasarz is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jacqueline Tasarz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Tasarz reassigns Medicare benefits to 2 organizations: Family Health Centers Of San Diego Inc (San Diego, CA) and Community Research Foundation Inc (San Diego, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Tasarz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacqueline Tasarz was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.