Individual provider Active NPI

Tara Amini, PA-C

  • Physician Assistant
  • Fresno, CA
National Provider Identifier
1508079906
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA19080 Issued in CA
Practice address
1685 E Home Ave
Fresno, CA 93728-2027
Phone
(559) 457-6900
Fax
(559) 400-8432
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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 PA19080 CA Primary

Addresses

Primary practice location

1685 E Home Ave
Fresno, CA 93728-2027

Mailing address

1685 E Home Ave
Fresno, CA 93728-2027
Phone (559) 457-6900

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
I20100809001123 CA Practitioner - Physician Assistant 3971636168 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinica Sierra VistaGroup PAC ID 3870407505, 180 clinicians

Practice addresses (Care Compare)

1350 S Orange Ave
Fresno, CA 93702-3463
Phone (559) 457-5400

1685 E Home Ave
Fresno, CA 93728-2027
Phone (559) 457-6900

Hospital & facility affiliations

  • Community Regional Medical Center Hospital, Fresno, CA, CCN 050060

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Sierra Vista CurrentSince Sep 26, 2023 Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network CurrentSince May 3, 2010 Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network CurrentSince May 3, 2010 Accepting new patients
Family Healthcare Network Current Accepting new patients
Clinica Sierra Vista CurrentSince Sep 26, 2023 Accepting new patients
Family Healthcare Network Current Accepting new patients
Clinica Sierra Vista Past Accepting new patients

Locations

1685 E Home Ave
Fresno, CA 93728
Phone (559) 457-6900

1350 S Orange Ave
Fresno, CA 93702
Phone (559) 457-5400

1945 N Fine Ave
Ste 100
Fresno, CA 93727
Phone (559) 457-5650

1107 W Poplar Ave
Porterville, CA 93257
Phone (559) 781-7242

305 E Center Ave
Visalia, CA 93291
Phone (559) 737-4792

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCECCA

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1508079906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1685 E HOME AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937282027",
            "telephone_number": "559-457-6900",
            "fax_number": "559-400-8432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1685 E HOME AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937282027",
            "telephone_number": "559-457-6900",
            "fax_number": "559-400-8432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMINI",
        "first_name": "TARA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA19080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.