Individual provider Active NPI

Tamara Michelle Tasoff, DDS

  • Dentist
  • Westlake Village, CA
National Provider Identifier
1770226268
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
110937 Issued in CA
Practice address
5784 Lindero Canyon Rd Ste B
Westlake Village, CA 91362-4088
Phone
(818) 706-0131
NPI assigned
Apr 14, 2022
Last updated
Feb 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 37213 TX
Dentist 122300000X 110937 CA Primary

Addresses

Primary practice location

5784 Lindero Canyon Rd Ste B
Westlake Village, CA 91362-4088

Mailing address

5784 Lindero Canyon Rd Ste B
Westlake Village, CA 91362-4088
Phone (818) 516-9080

Other practice location 1

1468 E Whitestone Blvd Ste 500
Cedar Park, TX 78613-0019
Phone (512) 528-5448

Other practice location 2

12680 W US 290
Austin, TX 78737
Phone (818) 516-9080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241206002089 TX Practitioner - Dentist 9436685914 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37213TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Valley Indian Health Inc CurrentSince Dec 2, 2024 Accepting new patients
Northern Valley Indian Health Inc CurrentSince Dec 2, 2024 Accepting new patients
Patel and Huss Dental Corporation Dentist PastSince Feb 9, 2025 Accepting new patients

Locations

207 N Butte St
Willows, CA 95988
Phone (530) 934-4641

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1770226268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5784 LINDERO CANYON RD STE B",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913624088",
            "telephone_number": "818-516-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5784 LINDERO CANYON RD STE B",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913624088",
            "telephone_number": "818-706-0131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1468 E Whitestone Blvd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "786130019",
            "country_code": "US",
            "telephone_number": "512-528-5448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12680 W US 290",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "78737",
            "country_code": "US",
            "telephone_number": "818-516-9080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TASOFF",
        "first_name": "TAMARA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-14",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "37213",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "110937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

Verify at the official NPI Registry.