Individual provider Active NPI

Tammy Darby, PA-C

  • Physician Assistant
  • Pomona, CA
National Provider Identifier
1265828370
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
52376 Issued in CA
Practice address
2740 N Garey Ave Ste 100
Pomona, CA 91767-1800
Phone
(909) 623-2300
Fax
(909) 469-2472
NPI assigned
Apr 15, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 52376 CA Primary

Addresses

Primary practice location

2740 N Garey Ave Ste 100
Pomona, CA 91767-1800

Mailing address

2740 N Garey Ave Ste 100
Pomona, CA 91767-1800
Phone (909) 623-2300

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231010004092 CA Practitioner - Physician Assistant 5193194256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inland Behavioral and Health Services IncGroup PAC ID 2769392927, shared by 2 NPIs, 10 clinicians

Practice addresses (Care Compare)

665 N D St
San Bernadino, CA 92401-1109
Phone (909) 708-8158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Senior'S Choice Medical Group, Inc. PastSince Sep 27, 2018 Accepting new patients
Reuben C Castillo, Professional Corporation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tammy.darby.p1@direct.csvs.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1265828370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 N GAREY AVE STE 100",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671800",
            "telephone_number": "909-623-2300",
            "fax_number": "909-469-2472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 N GAREY AVE STE 100",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671800",
            "telephone_number": "909-623-2300",
            "fax_number": "909-469-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARBY",
        "first_name": "TAMMY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-15",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "52376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.