Individual provider Active NPI

Calida Tam, PA-C

  • Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1346003118
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2962 Issued in NV
Practice address
1700 N Buffalo Dr Ste 100
Las Vegas, NV 89128-2677
Phone
(702) 233-8855
Fax
(702) 952-3548
NPI assigned
Feb 5, 2024
Last updated
Aug 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2962 NV Primary
Medical Physician Assistant 363AM0700X NU

Addresses

Primary practice location

1700 N Buffalo Dr Ste 100
Las Vegas, NV 89128-2677

Mailing address

6355 S Buffalo Dr FL 3
Las Vegas, NV 89113-2133
Phone (702) 216-3346

Other practice location 1

5915 S Rainbow Blvd Ste 100
Las Vegas, NV 89118-2558
Phone (702) 666-8808

Other practice location 2

7280 W Azure Dr Ste 110
Las Vegas, NV 89130-4401
Phone (725) 248-2244

Other identifiers 2

IdentifierTypeStateIssuer
1346003118MedicaidNV
PA2962OtherNVLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20240312003846 NV Practitioner - Physician Assistant 4587000534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medinix Medical Services Singh PLLCGroup PAC ID 3476955345, 24 clinicians

Practice addresses (Care Compare)

1321 S Rainbow Blvd
Suite 101
Las Vegas, NV 89146-9047
Phone (702) 476-2287

5915 S Rainbow Blvd
Suite 100
Las Vegas, NV 89118-2558
Phone (702) 666-8808

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Apollocare Partners of Nevada, Inc. PastSince Jan 4, 2026 Accepting new patients
Southern Hills Medical Center, LLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1346003118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 S BUFFALO DR FL 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132133",
            "telephone_number": "702-216-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N BUFFALO DR STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891282677",
            "telephone_number": "702-233-8855",
            "fax_number": "702-952-3548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5915 S Rainbow Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891182558",
            "country_code": "US",
            "telephone_number": "702-666-8808",
            "fax_number": "702-362-9954",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7280 W Azure Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891304401",
            "country_code": "US",
            "telephone_number": "725-248-2244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAM",
        "first_name": "CALIDA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA2962",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346003118",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PA2962",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.