Active NPI
Linda Tai, PA-C
- Surgical Physician Assistant
- Upland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 57036
- Practice address
- 901 San Bernardino Rd Ste 102
Upland, CA 91786-4988 - Phone
- (909) 579-6721
- NPI assigned
- Jun 30, 2016
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2016016697 | MO | |
| Surgical Physician Assistant | 363AS0400X | 3820 | TN | |
| Surgical Physician Assistant | 363AS0400X | 57036 | CA | Primary |
Addresses
Primary practice location
901 San Bernardino Rd Ste 102
Upland, CA 91786-4988
Mailing address
901 San Bernardino Rd Ste 102
Upland, CA 91786-4988
Phone (909) 579-6721
Other practice location 1
946 E Reed St
Hayti, MO 63851-1243
Phone (909) 632-8630
Other practice location 2
877 Jefferson Ave
Memphis, TN 38103-2807
Phone (901) 545-7509
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, TN, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
901 San Bernardino Rd
Suite 102
Upland, CA 91786-4988
Phone (909) 579-6721
999 San Bernardino Rd
Upland, CA 91786-4920
Phone (909) 579-6721
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016016697 | MO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Regional One Physicians Inc | Physician Assistant | Current | Accepting new patients |
| Pacific Professional Surgical Group Inc | Past | Accepting new patients |
Locations
6215 Humphreys Blvd
Ste 201
Memphis, TN 38120
Phone (901) 866-8085
877 Jefferson Ave
Memphis, TN 38103
Phone (901) 448-5893
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- linda.tai.p1@direct.pacificpulm.nextgenshare.com
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Upland, CA
- NPI 1366711236
-
- Critical Care Medicine (Internal Medicine) Physician
- Riverside, CA
- NPI 1386813103
-
- Trauma Surgery Physician
- Riverside, CA
- NPI 1578341608
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Riverside, CA
- NPI 1114971660
-
- General Acute Care Hospital
- Upland, CA
- NPI 1780681189
-
- General Acute Care Hospital
- Temecula, CA
- NPI 1679816201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719360000000",
"number": "1386095339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 SAN BERNARDINO RD STE 102",
"city": "UPLAND",
"state": "CA",
"postal_code": "917864988",
"telephone_number": "909-579-6721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 SAN BERNARDINO RD STE 102",
"city": "UPLAND",
"state": "CA",
"postal_code": "917864988",
"telephone_number": "909-579-6721"
}
],
"practiceLocations": [
{
"address_1": "946 E Reed St",
"address_purpose": "LOCATION",
"city": "Hayti",
"state": "MO",
"postal_code": "638511243",
"country_code": "US",
"telephone_number": "909-632-8630",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "877 Jefferson Ave",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381032807",
"country_code": "US",
"telephone_number": "901-545-7509",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAI",
"first_name": "LINDA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-30",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MO",
"license": "2016016697",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TN",
"license": "3820",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "57036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.
- 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.