Active NPI
Bobbie Lee Tahar, NP
- Family Nurse Practitioner
- Palmdale, CA
National Provider Identifier
1073210951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95024233
- Practice address
- 520 W Palmdale Blvd Ste Q
Palmdale, CA 93551-4231 - Phone
- (661) 947-3300
- NPI assigned
- Feb 13, 2023
- Last updated
- Mar 8, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95024233 | CA | Primary |
Addresses
Primary practice location
520 W Palmdale Blvd Ste Q
Palmdale, CA 93551-4231
Mailing address
5353 W Avenue L4
Lancaster, CA 93536-4441
Phone (661) 361-4999
Other practice location 1
327 E Palmdale Blvd
Palmdale, CA 93550-7139
Phone (661) 273-5888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95024233 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmdale Regional Women's Care, Inc. | Current | Accepting new patients |
Locations
520 W Palmdale Blvd
Ste Q
Palmdale, CA 93551
Phone (661) 947-3300
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Palmdale, CA
- NPI 1316247182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678233600000",
"number": "1073210951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5353 W AVENUE L4",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935364441",
"telephone_number": "661-361-4999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 W PALMDALE BLVD STE Q",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935514231",
"telephone_number": "661-947-3300"
}
],
"practiceLocations": [
{
"address_1": "327 E Palmdale Blvd",
"address_purpose": "LOCATION",
"city": "Palmdale",
"state": "CA",
"postal_code": "935507139",
"country_code": "US",
"telephone_number": "661-273-5888",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAHAR",
"first_name": "BOBBIE",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-13",
"last_updated": "2023-03-08",
"certification_date": "2023-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95024233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.