Individual provider Active NPI

Tara Megan Schueller, PA-C

  • Physician Assistant
  • San Diego, CA
National Provider Identifier
1316767650
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA65989 Issued in CA
Practice address
3434 Midway Dr Ste 2001
San Diego, CA 92110-4924
Phone
(619) 325-1161
NPI assigned
Oct 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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 PA65989 CA Primary

Addresses

Primary practice location

3434 Midway Dr Ste 2001
San Diego, CA 92110-4924

Mailing address

3434 Midway Dr Ste 2001
San Diego, CA 92110-4924
Phone (619) 325-1161

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
I20250424003942 CA Practitioner - Physician Assistant 2365968054 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA65989CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Algos Inc., a Medical Corporation CurrentSince Mar 24, 2025 Accepting new patients
Algos Inc., a Medical Corporation CurrentSince Mar 24, 2025 Accepting new patients
Algos Inc., a Medical Corporation Past Accepting new patients
Algos Inc., a Medical Corporation Past Accepting new patients

Locations

340 Fourth Ave
Ste 19
Chula Vista, CA 91910
Phone (619) 427-2411

1955 Citracado Pkwy
Ste 203
Escondido, CA 92029
Phone (760) 738-5533

1017 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 403-6200

10565 Civic Center Dr
Ste 250
Rancho Cucamonga, CA 91730
Phone (909) 493-3800

3434 Midway Dr
Ste 2001
San Diego, CA 92110
Phone (619) 226-8871

7525 Metropolitan Dr
Ste 302
San Diego, CA 92108
Phone (619) 325-1161

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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": "1728604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1316767650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 MIDWAY DR STE 2001",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921104924",
            "telephone_number": "619-325-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 MIDWAY DR STE 2001",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921104924",
            "telephone_number": "619-325-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUELLER",
        "first_name": "TARA",
        "middle_name": "MEGAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-11",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA65989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.