Individual provider Active NPI

Tamara J. Hoover, M.D.

  • Emergency Medicine Physician
  • El Cajon, CA
National Provider Identifier
1104836519
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G74348 Issued in CA
Practice address
1968 Flume Dr
El Cajon, CA 92021-3707
Phone
(619) 401-8058
Fax
(619) 401-8058
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G74348 CA Primary

Addresses

Primary practice location

1968 Flume Dr
El Cajon, CA 92021-3707

Mailing address

1968 Flume Dr
El Cajon, CA 92021-3707
Phone (619) 401-8058

Other identifiers 1

IdentifierTypeStateIssuer
00G746480MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 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

Enrollment IDStateProvider typePAC IDDetails
I20180124000932 TX Practitioner - Emergency Medicine 0840274049 Reassigns benefits to 1 organization
I20250208000021 FL Practitioner - Emergency Medicine 0840274049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
New York Medical College, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medfast Urgent Care Centers LLCGroup PAC ID 1052418837, 73 clinicians

Practice addresses (Care Compare)

2525 Garden St
Titusville, FL 32796-2549
Phone (321) 633-3278

3045 Columbia Blvd
Suite A108
Titusville, FL 32780-7864
Phone (321) 264-9176

5005 Port St John Pkwy
Port St John, FL 32927-4305
Phone (321) 757-7222

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74348CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Medfast Urgent Care Centers, LLC CurrentSince Jul 1, 2025 Accepting new patients
DHHS IHS Phoenix Area Current Accepting new patients
Medfast Urgent Care Centers, LLC CurrentSince Jul 1, 2025 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Jul 2, 2018 Accepting new patients
Medfast Urgent Care Centers LLC Current Accepting new patients

Locations

12033 Agency Rd
Parker, AZ 85344
Phone (760) 572-4137

5005 Port St John Pkwy
Port St John, FL 32927
Phone (321) 504-0556

Networks

  • Freedom Health HMO Network

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398816000000",
    "number": "1104836519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1968 FLUME DR",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920213707",
            "telephone_number": "619-401-8058",
            "fax_number": "619-401-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1968 FLUME DR",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920213707",
            "telephone_number": "619-401-8058",
            "fax_number": "619-401-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOVER",
        "first_name": "TAMARA",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2014-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G74348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G746480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

Verify at the official NPI Registry.