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

Q: 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.

Q: 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.

Q: 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 3 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.

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: August 30, 2026.

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

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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

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Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

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

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.

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)