DR. TARA NICHOLE THACKER M.D.
NPI 1144426750
Family Medicine in Los Angeles, CA
About Dr. Tara Nichole Thacker M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TARA NICHOLE THACKER M.D. (NPI 1144426750) is an individual family medicine provider in Los Angeles, California, licensed in California (A99654) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of Geisel School Of Medicine At Dartmouth (2005).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Tara Nichole Thacker M.d. 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90027 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
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 Tara Thacker's NPI number?
The NPI number for Tara Thacker is 1144426750. It was assigned to this individual provider in the NPPES registry on June 21, 2007.
Where is Tara Thacker located?
Tara Thacker practices at 4950 W Sunset Blvd 4th Floor, Los Angeles, CA 90027. The listed phone number is (800) 954-8000.
What is Tara Thacker's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Tara Thacker enrolled in Medicare?
Yes. Tara Thacker 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 Tara Thacker was last updated on December 3, 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.
# Dr. Tara Nichole Thacker, M.D. · NPI 1144426750
Family Medicine physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since June 21, 2007.
## Identity
- **NPI:** 1144426750 (Entity type: Individual)
- **Enumerated:** June 21, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A99654 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4950 W SUNSET BLVD, 4TH FLOOR, Los Angeles, CA 90027-5822
- **Phone:** (800) 954-8000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Geisel School Of Medicine At Dartmouth, class of 2005
## Record status
- **NPPES last updated:** December 3, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1144426750) · Data from the CMS NPPES public registry.