Individual provider Active NPI

Lauren Marie Tait, M.D.

  • Radiation Oncology Physician
  • San Luis Obispo, CA
National Provider Identifier
1972821601
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
A121850 Issued in CA
Practice address
100 Casa St
Suite C
San Luis Obispo, CA 93405-1883
Phone
(805) 925-2529
NPI assigned
May 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X A121850 CA Primary

Addresses

Primary practice location

100 Casa St
Suite C
San Luis Obispo, CA 93405-1883

Mailing address

1325 E Church St
Suite 101
Santa Maria, CA 93454-5909
Phone (805) 925-2529

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150808015950 CA Practitioner - Radiation Oncology 7214241975 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

100 Casa St
Suite C
San Luis Obispo, CA 93405-8804
Phone (805) 541-1932

10263 Winecreek CT
San Diego, CA 92127-3728
Phone (952) 595-1100

1551 Bishop St
Suite 110
San Luis Obispo, CA 93401-4692
Phone (415) 600-1010

274 Heather CT
Suite a
Templeton, CA 93465-9738
Phone (805) 434-1859

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A121850CAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Radiation Oncology Medical Group, Inc. Radiation Oncology CurrentSince Aug 1, 2015 Accepting new patients
Coastal Radiation Oncology Medical Group, Inc. Radiation Oncology Current Accepting new patients
Sutter Bay Medical Foundation CurrentSince Mar 1, 2024 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Mar 1, 2024 Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients
Lompoc Valley Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients
Dignity Community Care Past Accepting new patients
Coastal Radiation Oncology Medical Group, Inc. Radiation Oncology Past Accepting new patients
Sansum Clinic Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590

350 John Muir Pkwy
Ste 160
Brentwood, CA 94513
Phone (925) 204-1920

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777

1213 E Ocean Ave
Ste 100
Lompoc, CA 93436
Phone (805) 736-8628

325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911

151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200

1325 E Church St
Ste 101
Santa Maria, CA 93454
Phone (805) 648-5191

3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750

2985 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 584-6611

1551 Bishop St
Ste 110
Sn Luis Obisp, CA 93401
Phone (805) 548-8585

100 Casa St
Ste C
Sn Luis Obisp, CA 93405
Phone (805) 541-1932

10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488

274 Heather Ct
#A
Templeton, CA 93465
Phone (805) 434-1859

274 Heather Ct
Templeton, CA 93465
Phone (805) 434-1859

550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 12

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 3

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": "1273017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1972821601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 E CHURCH ST",
            "address_2": "SUITE 101",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545909",
            "telephone_number": "805-925-2529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CASA ST",
            "address_2": "SUITE C",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051883",
            "telephone_number": "805-925-2529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAIT",
        "first_name": "LAUREN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-05",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A121850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.