DR. ANGELA TAMBUNTING ECHIVERRI (M.D., M.P.H.) – Family Medicine Physician, NPI 1124376363
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
13,194 FAMILY PRACTICE in CA
Provider Addresses for DR. ANGELA TAMBUNTING ECHIVERRI (M.D., M.P.H.)
435 2ND AVE APT 1
SAN FRANCISCO, CA 941183223
Phone: (310) 310-0410
Type: Mailing
2500 ALHAMBRA AVE
MARTINEZ, CA 945533156
Phone: (925) 370-5116
Fax: (925) 370-5142
Type: Location
2509 PICO BLVD
SANTA MONICA, CA 904051828
Phone: (310) 392-8636
Fax: (310) 943-3521
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-03-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250324000158 | I | Family Practice | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 94118)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Hospitalist | CA | |
| Addiction Medicine, Family Practice | CA | |
| Clinical Social Worker | CA | |
| Clinical Social Worker | CA | |
| Marriage And Family Therapist | CA | |
| Family Practice | IL | |
| Family Practice | CA | |
| Internal Medicine, Pediatric Medicine | NM | |
| P S Y C H I A T R Y | CA | |
| Family Practice | CA |
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