Individual provider Active NPI

Tarlochan Singh Tagore, MD

  • Internal Medicine Physician
  • Sanger, CA
National Provider Identifier
1083749204
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
00A314000 Issued in CA
Practice address
1822 Jensen Ave
Sanger, CA 93657
Phone
(559) 875-5521
Fax
(559) 875-2032
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 00A314000 CA Primary

Addresses

Primary practice location

1822 Jensen Ave
Sanger, CA 93657

Mailing address

1822 Jensen Ave
Sanger, CA 93657
Phone (559) 875-5521

Other practice location 1

210 E Merced St
Fowler, CA 93625-2313
Phone (559) 834-5341

Other identifiers 1

IdentifierTypeStateIssuer
00A314000MedicaidCA

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100428000666 CA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 3476680109 Practice locations: Sanger, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1822 Jensen Ave
Sanger, CA 93657-2863
Phone (559) 875-5521

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
34.02 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
76.74

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31400CAMDPharmacy Technician
00A314000CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fresno Community Hospital and Medical Center Past Accepting new patients

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 and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1083749204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 JENSEN AVE",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "93657",
            "telephone_number": "559-875-5521",
            "fax_number": "559-875-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 JENSEN AVE",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "93657",
            "telephone_number": "559-875-5521",
            "fax_number": "559-875-2032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 E Merced St",
            "address_purpose": "LOCATION",
            "city": "Fowler",
            "state": "CA",
            "postal_code": "936252313",
            "country_code": "US",
            "telephone_number": "559-834-5341",
            "fax_number": "559-834-1234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAGORE",
        "first_name": "TARLOCHAN",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "00A314000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A314000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanger, CA

Sources for this page

Verify at the official NPI Registry.