Tana Marie Richter, P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA14964 Issued in CA

Practice address

28240 Agoura Rd
Suite #102
Agoura Hills, CA 91301-2485

Phone

(818) 706-9690

Fax

(818) 706-9692

NPI assigned

May 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tana Marie Richter Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Sep 22, 2020 through Sep 22, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: tana@tvc-ca.direct.office.nextgen.com

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.

• Miller Medical & Wellness Clinic a Professional Medical Corp

  • Family Medicine Physician
  • Agoura Hills, CA
  • NPI 1659392330
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353369600000",
    "number": "1043427420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 VIA DON LUIS",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913206814",
            "telephone_number": "805-498-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28240 AGOURA RD",
            "address_2": "SUITE #102",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913012485",
            "telephone_number": "818-706-9690",
            "fax_number": "818-706-9692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHTER",
        "first_name": "TANA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2012-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA14964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANA",
            "last_name": "RICHTER",
            "middle_name": "MARIE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Results Squared Physical Therapy
• Retina Institute PC
• Miranda Alayne Rich, LMFT
• Christine Natelli Richard, PMHNP-BC
• Lauren Marjorie Richards, MSCOT
• Ridge Surgical Center
• Risa Potters, D.C.
• Rising Health, Inc. (independent)
• Risk Management Services Group, Inc.
• Teresa L Rispoli, L.AC.

• Physician Assistant in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.