Philip Tagatac, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

108138 Issued in CA

Practice address

26446 Sandy CRK
Lake Forest, CA 92630-5627

Phone

(949) 322-7138

NPI assigned

Sep 23, 2022

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Philip Tagatac DMD Inc

  • Dentist
  • San Bernardino, CA
  • NPI 1346929452
  NPD Authorized official
• Tagatac Ida a Dental Corporation

  • General Practice Dentistry
  • San Bernardino, CA
  • NPI 1477124493
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1033832019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26446 SANDY CRK",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926305627",
            "telephone_number": "949-322-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26446 SANDY CRK",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926305627",
            "telephone_number": "949-322-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGATAC",
        "first_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "108138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dina Tabibzada
• Karen Ann Tafreshi, D.C.
• Mohammad Reza Taghavi, DDS
• Foroud Tale-Yazdi, D.D.S.
• Kim Thu Tang, M.D.
• David Roy Tanouye, O.D.
• Lin Tao

• Dentist in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.