Active NPI
Tamora Leona Holland, PA
- Medical Physician Assistant
- Monterey, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 1090605
- Practice address
- 1 University Circle Dental Clinic
Monterey, CA 93940 - Phone
- (831) 242-6457
- NPI assigned
- Jan 13, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 141935738906 | UT | |
| Physician Assistant | 363A00000X | 001005454 | NC | |
| Medical Physician Assistant | 363AM0700X | 1090605 | GA | Primary |
Addresses
Primary practice location
1 University Circle Dental Clinic
Monterey, CA 93940
Mailing address
1 University Circle Dental Clinic
Monterey, CA 93940
Phone (831) 242-6457
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, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1025 N Demaree St
Visalia, CA 93291-4117
Phone (559) 931-0800
144 S L St
Tulare, CA 93274-4104
Phone (559) 890-3150
876 W Grand Ave
Porterville, CA 93257-2071
Phone (951) 412-1540
Hospital & facility affiliations
- Sierra View Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001005454 | NC | MD | Physician Assistant |
| 141935738906 | UT | MD | Physician Assistant |
| 1090605 | GA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Laser Center PC, a Professional Medical Corporation | Past | Accepting new patients | |
| Naval Hospital Guam | Past | Accepting new patients |
Interoperability endpoints
- tholland@lalasercenter.emadirect.md
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.
-
- Multi-Specialty Clinic/Center
- San Clemente, CA
- NPI 1306982855
-
- Non-Pharmacy Dispensing Site
- Turlock, CA
- NPI 1356974059
-
- Military Hospital
- NPI 1467852749
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Porterville, CA
- NPI 1639143381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733961600000",
"number": "1922338920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 UNIVERSITY CIRCLE DENTAL CLINIC",
"city": "MONTEREY",
"state": "CA",
"postal_code": "93940",
"telephone_number": "831-242-6457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 UNIVERSITY CIRCLE DENTAL CLINIC",
"city": "MONTEREY",
"state": "CA",
"postal_code": "93940",
"telephone_number": "831-242-6457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "TAMORA",
"middle_name": "LEONA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-13",
"last_updated": "2024-12-12",
"certification_date": "2024-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "141935738906",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "001005454",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "1090605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monterey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.