Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LAUREN PANETTI-TAGGART
NPI 1083574248
Physician Assistant - Medical in San Diego, CA

Active since November 12, 2025PECOS Enrolled
3900 FIFTH AVE STE 110, SAN DIEGO, CA 92103(858) 554-1212 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 24, 2026, Nov 12, 2025 (2 updates tracked since 2025).

About Lauren Panetti-taggart NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAUREN PANETTI-TAGGART (NPI 1083574248) is an individual medical provider in San Diego, California, licensed in California (PA68245) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1083574248
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLAUREN PANETTI-TAGGART
Location Address3900 FIFTH AVE STE 110San Diego, CA 92103-3122
Mailing Address3081 Dow PlSan Diego, CA 92117-1605
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 12, 2025
Last NPPES UpdateSeptember 24, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2026
✔ NPI 1083574248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA68245
3900 FIFTH AVE STE 110, San Diego, CA 92103

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lauren Panetti-taggart is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779056734
PECOS Enrollment IDI20260622003742
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
3900 FIFTH AVE STE 110
SAN DIEGO, CA 92103
Family Medicine
3900 FIFTH AVE STE 110
SAN DIEGO, CA 92103
Physician Assistant
3900 FIFTH AVE STE 110
SAN DIEGO, CA 92103
Family Medicine
3900 FIFTH AVE STE 110
SAN DIEGO, CA 92103
Nurse Practitioner
3900 FIFTH AVE STE 110
SAN DIEGO, CA 92103
Physician Assistant (Medical)
3900 FIFTH AVE STE 110
SAN DIEGO, CA 92103
Nurse Practitioner
3900 FIFTH AVE STE 110
SAN DIEGO, CA 92103
Physician Assistant
3900 FIFTH AVE STE 110
SAN DIEGO, CA 92103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lauren Panetti-taggart's NPI number?

The NPI number for Lauren Panetti-taggart is 1083574248. It was assigned to this individual provider in the NPPES registry on November 12, 2025.

Where is Lauren Panetti-taggart located?

Lauren Panetti-taggart practices at 3900 Fifth Ave Ste 110, San Diego, CA 92103. The listed phone number is (858) 554-1212.

What is Lauren Panetti-taggart's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Lauren Panetti-taggart enrolled in Medicare?

Yes. Lauren Panetti-taggart is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lauren Panetti-taggart was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.