MRS. JODI LAINE TARUTIS PA-C
NPI 1124138169
Physician Assistant - Medical in San Marcos, CA

Q: What is Jodi Tarutis's NPI number?

The NPI number for Jodi Tarutis is 1124138169. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Q: What is Jodi Tarutis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jodi Tarutis was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment

150 VALPREDA RD, SAN MARCOS, CA 92069(760) 736-6700(760) 736-6700 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 29, 2021, May 20, 2020 (2 updates tracked since 2020).

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About Mrs. Jodi Laine Tarutis Pa-c NPPES

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

MRS. JODI LAINE TARUTIS PA-C (NPI 1124138169) is an individual medical provider in San Marcos, California, licensed in California (18111) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1124138169

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMRS. JODI LAINE TARUTISCredential: PA-C

Location Address150 VALPREDA RDSan Marcos, CA 92069-2973

Mailing Address29573 Greenbelt CirMenifee, CA 92585-9262 · (951) 566-5454 · Fax (951) 566-5454

Phone(760) 736-6700

Fax(760) 736-6700

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateAugust 30, 2006

Last NPPES UpdateNovember 29, 20212 updates tracked since enumeration

NPPES CertifiedMay 20, 2020

✔ NPI 1124138169 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 · 18111

150 VALPREDA RD, San Marcos, CA 92069

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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

Mrs. Jodi Laine Tarutis Pa-c 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 ID8729187521

PECOS Enrollment IDI20070619000737

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 20

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

DR. GREGORY M SMITH

Dentist (General Practice)