Active NPI
Lauren Tatum, P.A
- Medical Physician Assistant
- Covina, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 51263
- Practice address
- 420 W Rowland St
Covina, CA 91723-2943 - Phone
- (626) 331-6411
- Fax
- (626) 251-1559
- NPI assigned
- Dec 21, 2013
- Last updated
- May 4, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 51263 | CA | Primary |
Addresses
Primary practice location
420 W Rowland St
Covina, CA 91723-2943
Mailing address
12942 Baltimore CT
Chino, CA 91710-5937
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
974 W Foothill Blvd
Upland, CA 91786-3728
Phone (909) 981-2273
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51263 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anaheim Urgent Care, Inc | Current | Accepting new patients | |
| Anaheim Urgent Care, Inc | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Advanced Medical and Urgent Care Center | Current | Accepting new patients | |
| Anaheim Urgent Care, Inc. | Current | Accepting new patients |
Locations
1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000
831 S State College Blvd
Anaheim, CA 92806
Phone (714) 533-2273
824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706
420 W Rowland St
Covina, CA 91723
Phone (626) 331-6411
1300 N La Brea Ave
Los Angeles, CA 90028
Phone (323) 464-1336
5717 Melrose Ave
Los Angeles, CA 90038
Phone (323) 957-2273
888 S Figueroa St
Ste 600
Los Angeles, CA 90017
601 Torrance Blvd
#1182
Redondo Beach, CA 90277
974 W Foothill Blvd
Upland, CA 91786
Phone (909) 932-1122
Organizations & group practices 6
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.
-
- Urgent Care Clinic/Center
- Upland, CA
- NPI 1922339092
-
- Urgent Care Clinic/Center
- Anaheim, CA
- NPI 1962680033
-
dba Optum
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
-
dba Advanced Urgent Care of Beverly Hills
- Urgent Care Clinic/Center
- Beverly Hills, CA
- NPI 1619682788
-
dba Pasadena city urgent care
- Urgent Care Clinic/Center
- Pasadena, CA
- NPI 1760052138
-
dba Optum
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462320000000",
"number": "1740601509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12942 BALTIMORE CT",
"city": "CHINO",
"state": "CA",
"postal_code": "917105937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 W ROWLAND ST",
"city": "COVINA",
"state": "CA",
"postal_code": "917232943",
"telephone_number": "626-331-6411",
"fax_number": "626-251-1559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATUM",
"first_name": "LAUREN",
"name_prefix": "Miss",
"credential": "P.A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-21",
"last_updated": "2016-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "51263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.