Active NPI
Edward Thomas Tammara, P.A.-C
- Physician Assistant
- Lancaster, CA
National Provider Identifier
1316049380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA11116
- Practice address
- 43839 15TH St W
Lancaster, CA 93534-4756 - Phone
- (661) 945-5984
- Fax
- (661) 948-1574
- NPI assigned
- Sep 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA11116 | CA | Primary |
Addresses
Primary practice location
43839 15TH St W
Lancaster, CA 93534-4756
Mailing address
PO Box 7007
Lancaster, CA 93539-7007
Phone (661) 945-5984
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
43839 15TH St W
Lancaster, CA 93534-4756
Phone (661) 945-5984
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kenneth V. Miselis, M.D. Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Lancaster, CA
- NPI 1720196702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220832000000",
"number": "1316049380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7007",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935397007",
"telephone_number": "661-945-5984",
"fax_number": "661-948-1574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43839 15TH ST W",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935344756",
"telephone_number": "661-945-5984",
"fax_number": "661-948-1574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAMMARA",
"first_name": "EDWARD",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-01",
"last_updated": "2008-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA11116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; 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.