Individual provider Active NPI

Thomas Edward Tate, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • La Canada, CA
National Provider Identifier
1922104181
Registry record updated Aug 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
17787 Issued in CA
Practice address
1370 Foothill Blvd
Suite 200
La Canada, CA 91011-2150
Phone
(818) 952-8183
Fax
(818) 952-6437
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 17787 CA Primary

Addresses

Primary practice location

1370 Foothill Blvd
Suite 200
La Canada, CA 91011-2150

Mailing address

1370 Foothill Blvd
Suite 200
La Canada, CA 91011-2150
Phone (818) 952-8183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17787CAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Medical Group Inc Past Accepting new patients
Lytle, Tate & Stamper, a Dental Corporation Oral and Maxillofacial Surgery Past Accepting new patients
Christopher Chan, DDS, MD, Inc. Oral and Maxillofacial Surgery PastSince Apr 24, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786838400000",
    "number": "1922104181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 FOOTHILL BLVD",
            "address_2": "SUITE 200",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910112150",
            "telephone_number": "818-952-8183",
            "fax_number": "818-952-6437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 FOOTHILL BLVD",
            "address_2": "SUITE 200",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910112150",
            "telephone_number": "818-952-8183",
            "fax_number": "818-952-6437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "THOMAS",
        "middle_name": "EDWARD",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2026-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "17787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Canada, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.