Joseph Louis Tate, P.A.C.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA10224 Issued in CA

Practice address

11919 Hesperia Rd
Hesperia, CA 92345-2158

Phone

(760) 948-1454

Fax

(760) 948-6100

NPI assigned

Jun 26, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: joseph.tate.p4@direct.fpa.nextgenshare.com
• Direct secure messaging: joseph.tate.1@17297.direct.athenahealth.com

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.

• Healthpointe Medical Group, Inc.

  • Specialist
  • Anaheim, CA
  • NPI 1548201304
  Medicare reassignment
• Healthpointe Medical Group, Inc.

  • Specialist
  • Ontario, CA
  • NPI 1740221472
  Medicare reassignment
• Stallant Medical Group Inc

  • Rural Health Clinic/Center
  • Crescent City, CA
  • NPI 1366082463
  Medicare reassignment
• Healthpointe Medical Group, Inc.

  • Specialist
  • Temecula, CA
  • NPI 1295192649
  NPD
• Healthpointe Medical Group, Inc.

  • Specialist
  • Los Angeles, CA
  • NPI 1700286739
  NPD
• Healthpointe Medical Group, Inc.

  • Specialist
  • Colton, CA
  • NPI 1063787380
  NPD (past)
• Healthpointe Medical Group, Inc.

  • Specialist
  • Corona, CA
  • NPI 1073703377
  NPD (past)

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1538423447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11919 HESPERIA RD",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923452158",
            "telephone_number": "760-948-1454",
            "fax_number": "760-948-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11919 HESPERIA RD",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923452158",
            "telephone_number": "760-948-1454",
            "fax_number": "760-948-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "JOSEPH",
        "middle_name": "LOUIS",
        "name_prefix": "Mr.",
        "credential": "P.A.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-26",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA10224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tetris Ylizah Apostol Tan, MD
• Sophia Tannenberg
• Suehong Tao, MD
• Amy Tapia
• Naomi Tapia
• Cindy Tavares
• Sara Tavera, CHW
• Lanea M Taylor
• Susan Templeton
• Tender Heart Adult Day Health Care

• Medical Physician Assistant in Hesperia, CA
• Providers in Hesperia, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.