Jason C Tani, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G160274 Issued in CA

Practice address

160 E Artesia St Ste 360
Pomona, CA 91767-2927

Phone

(760) 552-8585

Fax

(760) 243-7276

NPI assigned

Oct 5, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jason C Tani Other name

Medicare fee-for-service enrollment

Enrolled in TX, CA2 enrollments

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 2

Specialty

Orthopedic Surgery

Education

University of Hawaii John a. Burns School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Orthopaedic Trauma Specialists PMCGroup PAC ID 4082992623, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Hospital of San Bernardino Hospital, San Bernardino, CA, CCN 050089
• St Bernardine Medical Center Hospital, San Bernardino, CA, CCN 050129
• San Gorgonio Memorial Hospital Hospital, Banning, CA, CCN 050054

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: jason.tani.1@20474.direct.athenahealth.com
• Direct secure messaging: gehjtani@yourcarecommunity.org

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.

• Premier Orthopaedic Trauma Specialists, PMC

  • Orthopaedic Surgery Physician
  • Pomona, CA
  • NPI 1407304439
  Medicare reassignment Care Compare group NPD
• Sports Medicine and Orthopaedic Institute

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Victorville, CA
  • NPI 1669993218
  Medicare reassignment NPD
• DHHS,PHS,Naihs, Gallup Indian Medical Center

  • General Acute Care Hospital
  • Gallup, NM
  • NPI 1225002322

  TX

  Medicare reassignment NPD
• Prime Healthcare Services - San Dimas LLC

  • General Acute Care Hospital
  • San Dimas, CA
  • NPI 1740447945
  NPD
• Community Hospital of San Bernardino

  • Pediatric Skilled Nursing Facility
  • San Bernardino, CA
  • NPI 1851395685
  NPD (past)
• Dignity Health

  • General Acute Care Hospital
  • San Bernardino, CA
  • NPI 1689769911
  NPD (past)
• San Gorgonio Memorial Hospital

  • General Acute Care Hospital
  • Banning, CA
  • NPI 1568469997
  NPD (past)
• Arizona Spine and Joint Hospital LLC

  • General Acute Care Hospital
  • Mesa, AZ
  • NPI 1396745832
  NPD (past)
• Banner Baywood Medical Center

  • General Acute Care Hospital
  • Mesa, AZ
  • NPI 1194758284
  NPD (past)
• Banner Gateway Medical Center

  • General Acute Care Hospital
  • Gilbert, AZ
  • NPI 1699884858
  NPD (past)
• Banner Health

  • Medicare Defined Swing Bed Hospital Unit
  • Payson, AZ
  • NPI 1114301017
  NPD (past)

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

• Community Hospital of San Bernardino

  • General Acute Care Hospital
  • San Bernardino, CA
  • NPI 1235290818
  Care Compare affiliation
• Dignity Health

  • General Acute Care Hospital
  • San Bernardino, CA
  • NPI 1689769911
  Care Compare affiliation
• San Gorgonio Memorial Hospital

  • General Acute Care Hospital
  • Banning, CA
  • NPI 1568469997
  Care Compare affiliation

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694304000000",
    "number": "1104813013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17100B BEAR VALLEY RD # 283",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955851",
            "telephone_number": "760-552-8585",
            "fax_number": "760-243-7276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E ARTESIA ST STE 360",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672927",
            "telephone_number": "760-552-8585",
            "fax_number": "760-243-7276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANI",
        "first_name": "JASON",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2023-09-10",
        "certification_date": "2023-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "24700",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G160274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASON",
            "last_name": "TANI",
            "middle_name": "C",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michelle Mae Ambrocio Tandoc, PHARM D
• Binh Kim Tang, PHARMD
• Carolyn Joyce Tang
• Katherine Shalane Tang
• Sharon D Tanghal, LCSW
• Kamasha Monique Tanner
• Kassi Tanner
• Chiranjeevi Tanubuddi
• Alexa Angela Tapia
• Irene Tapia

• Orthopaedic Surgery Physician in Pomona, CA
• Providers in Pomona, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.