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MRS. RONIC SHENAY TATUM NP
NPI 1093065765
Nurse Practitioner - Family in Cerritos, CA

Active since September 11, 2012PECOS Enrolled
12898 TOWNE CENTER DR, CERRITOS, CA 90703(310) 429-1387 Get Directions Write a Review

NPPES record last updated: September 19, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Ronic Shenay Tatum Np NPPES

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

MRS. RONIC SHENAY TATUM NP (NPI 1093065765) is an individual family provider in Cerritos, California, licensed in California (22347) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093065765
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. RONIC SHENAY TATUMCredential: NP
Location Address12898 TOWNE CENTER DRCerritos, CA 90703-8546
Mailing Address12898 Towne Center DrCerritos, CA 90703-8546 · (310) 429-1387
Phone(310) 429-1387
Sole ProprietorYes
Enumeration DateSeptember 11, 2012
Last NPPES UpdateSeptember 19, 2014
✔ NPI 1093065765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 22347
12898 TOWNE CENTER DR, Cerritos, CA 90703
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Ronic Shenay Tatum Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Ronic Tatum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Albion Medical Partners Of California West P C
0.1 mi
Internal Medicine
12900 PARK PLAZA DR, STE 700, MS-7110
Cerritos, CA 90703
  • Reassigned Medicare billing, California enrollment
  • 235 clinicians in this Medicare group
NPI 1073110607 (562) 622-2800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90703 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

BROOKE WHARTON LMFT
Marriage & Family Therapist
12898 TOWNE CENTER DR
CERRITOS, CA 90703
Los Angeles County (714) 713-1986
MR. NEIL S COLLINS LMFT
Marriage & Family Therapist
12898 TOWNE CENTER DR
CERRITOS, CA 90703
Los Angeles County (657) 222-7523
MRS. ELIZABETH RODARTE-SALDANA LCSW
Social Worker (Clinical)
12898 TOWNE CENTER DR
CERRITOS, CA 90703
Los Angeles County (840) 208-8199
MS. CATHERINE MARIE BUDDEMEYER ANP
Nurse Practitioner (Adult Health)
12898 TOWNE CENTER DR
CERRITOS, CA 90703
Los Angeles County (866) 646-3553
LINDA M CHEUNG NP
Nurse Practitioner (Acute Care)
12898 TOWNE CENTER DR
CERRITOS, CA 90703
Los Angeles County (323) 403-7158
KRISTINA LEE GREENBERG
Social Worker (Clinical)
12898 TOWNE CENTER DR
CERRITOS, CA 90703
Los Angeles County (800) 331-1476
MR. KEISUKE MENJO NP-C
Nurse Practitioner (Gerontology)
12898 TOWNE CENTER DR
CERRITOS, CA 90703
Los Angeles County (562) 622-2800
ALICIA HERNANDEZ ENCINAS NP
Nurse Practitioner (Family)
12898 TOWNE CENTER DR
CERRITOS, CA 90703
Los Angeles County (562) 677-2470

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 Ronic Tatum's NPI number?

The NPI number for Ronic Tatum is 1093065765. It was assigned to this individual provider in the NPPES registry on September 11, 2012.

Where is Ronic Tatum located?

Ronic Tatum practices at 12898 Towne Center Dr, Cerritos, CA 90703. The listed phone number is (310) 429-1387.

What is Ronic Tatum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ronic Tatum enrolled in Medicare?

Yes. Ronic Tatum is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ronic Tatum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ronic Tatum reassigns Medicare benefits to Albion Medical Partners Of California West P C (Cerritos, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ronic Tatum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ronic Tatum was last updated on September 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.