Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tara Codee Mauro, DO

Individual provider Psychiatry Physician · NPI 1962508903

Tara Codee Mauro, DO is a Psychiatry in San Diego, California. Graduated from University of Pikeville, Kentucky College of Osteopathic Med in 2004, 22 years ago. Practices with Pacific Coast Psychiatric Associates Inc, a 632-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
22
Trained at
University of Pikeville, Kentucky College of Osteopathic Med
Licensed in
CA
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

11515 El Camino Real Ste 100
San Diego, CA 92130-3034
Phone: (858) 279-1223
Fax: (858) 261-2001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 20A16439 (CA)

Record details

NPI number1962508903
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedSeptember 16, 2006
Last updated in NPPESMay 16, 2024
Certification dateMay 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolUNIVERSITY OF PIKEVILLE, KENTUCKY COLLEGE OF OSTEOPATHIC MED
Graduated 2004 (22 years in practice)
Group practice Pacific Coast Psychiatric Associates Inc — 632 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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