Anna Victoria Tang Tilt, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA22040 Issued in CA

Practice address

1850 W Florida Ave
Hemet, CA 92545-3718

Phone

(951) 438-2200

NPI assigned

Jan 6, 2012

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

• Mrs. Anna Victoria Tang Tilt Other name

Medicare fee-for-service enrollment

Enrolled in CA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Healthcare Partners Affiliates Medical Group

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1659312593
  Medicare reassignment
• CMG Express Care, Inc

  • Family Medicine Physician
  • Riverside, CA
  • NPI 1962746404
  NPD
• Healthcare Partners Affiliates Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Murrieta, CA
  • NPI 1760057269
  NPD
• Planned Parenthood of the Pacific Southwest

  • Community Health Clinic/Center
  • San Diego, CA
  • NPI 1427081652
  NPD (past)

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1053681114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27484 KOBUK VALLEY DR",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925858131",
            "telephone_number": "760-803-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 W FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925453718",
            "telephone_number": "951-438-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6859 Magnolia Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925062866",
            "country_code": "US",
            "telephone_number": "951-824-7887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANG TILT",
        "first_name": "ANNA",
        "middle_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-06",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA22040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA VICTORIA",
            "last_name": "TILT",
            "middle_name": "TANG",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alexandria Sarah-Ellen Ta, RN
• Omer Tabel, DDS
• Samer Nasr Tabel, DDS
• Veeravat Taecharvongphairoj, M.D.
• Debbie Carlos Tan, D.D.S.
• Pavani Krishna Tangirala, MBBS
• Gabriela Tapia
• Alana Tartt
• Kortney Tatum Simpson
• Chastity Taylor

• Physician Assistant in Hemet, CA
• Providers in Hemet, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.