Active NPI
Juliette E Tamagni, PA-C
- Physician Assistant
- Los Banos, CA
National Provider Identifier
1225196884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA12447
- Practice address
- 311 W I St
Los Banos, CA 93635-3479 - Phone
- (209) 826-2222
- Fax
- (209) 827-9998
- NPI assigned
- Dec 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 273088 | AZ | |
| Family Nurse Practitioner | 363LF0000X | 5222 | CA | |
| Physician Assistant | 363A00000X | PA12447 | CA | Primary |
Addresses
Primary practice location
311 W I St
Los Banos, CA 93635-3479
Mailing address
505 E Romie LN Ste K
Salinas, CA 93901-4031
Phone (831) 422-9066
Other practice location 1
505 E Romie Ln Ste K
Salinas, CA 93901-4031
Phone (831) 422-9066
Other practice location 2
311 W I St
Los Banos, CA 93635-3479
Phone (209) 826-6444
Other practice location 3
400 W I St Ste A
Los Banos, CA 93635-3459
Phone (209) 827-9999
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150713000820 | CA | Order and Referring Only - Physician Assistant | 4880906361 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12447 | CA | MD | Speech-Language Pathologist |
| PA12447 | CA | MD | Physician Assistant |
| 273088 | AZ | MD | Family Nurse Practitioner |
| 5222 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Gould Medical Foundation | Past | Accepting new patients | |
| Karthikeya Devireddy MD Inc | Past | Accepting new patients | |
| Salinas Pediatric Medical Group Inc | Past | Accepting new patients | |
| Apex Annex Health Center,Inc | Past | Accepting new patients | |
| Salinas Valley Memorial Healthcare System | Past | Accepting new patients | |
| KD Medical Group Inc | Past | Accepting new patients | |
| Dos Palos Apex Health Center Inc | Past | Accepting new patients |
Interoperability endpoints
- juliette.tamagni.1@3550.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Rural Health Clinic/Center
- Los Banos, CA
- NPI 1215484142
-
- Rural Health Clinic/Center
- Dos Palos, CA
- NPI 1831623453
-
- Rural Health Clinic/Center
- Los Banos, CA
- NPI 1518089507
-
- Family Medicine Physician
- Los Banos, CA
- NPI 1457522567
-
- Pediatrics Physician
- Salinas, CA
- NPI 1932194230
-
- General Acute Care Hospital
- Salinas, CA
- NPI 1750384079
-
- Family Medicine Physician
- Modesto, CA
- NPI 1326093360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713830400000",
"number": "1225196884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 E ROMIE LN STE K",
"city": "SALINAS",
"state": "CA",
"postal_code": "939014031",
"telephone_number": "831-422-9066",
"fax_number": "831-422-4312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 W I ST",
"city": "LOS BANOS",
"state": "CA",
"postal_code": "936353479",
"telephone_number": "209-826-2222",
"fax_number": "209-827-9998"
}
],
"practiceLocations": [
{
"address_1": "505 E Romie Ln Ste K",
"address_purpose": "LOCATION",
"city": "Salinas",
"state": "CA",
"postal_code": "939014031",
"country_code": "US",
"telephone_number": "831-422-9066",
"fax_number": "831-422-4312",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "311 W I St",
"address_purpose": "LOCATION",
"city": "Los Banos",
"state": "CA",
"postal_code": "936353479",
"country_code": "US",
"telephone_number": "209-826-6444",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 W I St Ste A",
"address_purpose": "LOCATION",
"city": "Los Banos",
"state": "CA",
"postal_code": "936353459",
"country_code": "US",
"telephone_number": "209-827-9999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAMAGNI",
"first_name": "JULIETTE",
"middle_name": "E",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2024-04-23",
"certification_date": "2024-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "273088",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "5222",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA12447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Banos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.