Individual provider Active NPI

Taralyn Johnson, PA-C

  • Physician Assistant
  • Laguna Hills, CA
National Provider Identifier
1730784745
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
58639 Issued in CA
Practice address
23961 Calle de la Magdalena Ste 500
Laguna Hills, CA 92653-7622
Phone
(949) 855-1101
Fax
(949) 289-9171
NPI assigned
Nov 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 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 58639 CA Primary

Addresses

Primary practice location

23961 Calle de la Magdalena Ste 500
Laguna Hills, CA 92653-7622

Mailing address

23961 Calle de la Magdalena Ste 500
Laguna Hills, CA 92653-7622
Phone (949) 855-1101

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
I20210219002491 CA Practitioner - Physician Assistant 1557776713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orange County Urology Associates Inc a Medical GroupGroup PAC ID 6002713146, 18 clinicians

Practice addresses (Care Compare)

16305 Sand Canyon Ave
Suite 200
Irvine, CA 92618-3783
Phone (949) 855-1101

23961 Calle de la Magdalena
Suite 500
Laguna Hills, CA 92653-7622
Phone (949) 855-1101

26691 Plaza
Suite 120
Mission Viejo, CA 92691-6347
Phone (949) 855-1101

Hospital & facility affiliations

  • Providence Mission Hospital Hospital, Mission Viejo, CA, CCN 050567
  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224
  • Memorialcare Saddleback Medical Center Hospital, Laguna Hills, CA, CCN 050603

Merit-based Incentive Payment System (MIPS)

Final score
88.87 of 100Reported as group
Quality
77.75
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58639CAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri Valley Urology Current Accepting new patients

Locations

25495 Medical Center Dr
Ste 204
Murrieta, CA 92562
Phone (951) 698-1901

Interoperability endpoints

  • Direct secure messaging: taralynjohnson@ocua.medalliesdirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1730784745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23961 CALLE DE LA MAGDALENA STE 500",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537622",
            "telephone_number": "949-855-1101",
            "fax_number": "949-289-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23961 CALLE DE LA MAGDALENA STE 500",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537622",
            "telephone_number": "949-855-1101",
            "fax_number": "949-289-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TARALYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "58639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.