TATUM RENE LITTLE PHYSICIAN ASSISTANT
NPI 1154929644
Physician Assistant in Los Angeles, CA

Active since October 15, 2020PECOS Enrolled
87.82/100
CMS Quality Rating
5326 E BEVERLY BLVD, LOS ANGELES, CA 90022(866) 590-6411(323) 476-0397 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2023, Oct 15, 2020 (2 updates tracked since 2020).

About Tatum Rene Little Physician Assistant NPPES

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

TATUM RENE LITTLE PHYSICIAN ASSISTANT (NPI 1154929644) is an individual physician assistant in Los Angeles, California, licensed in California (58480) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154929644
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTATUM RENE LITTLECredential: PHYSICIAN ASSISTANT
Location Address5326 E BEVERLY BLVDLos Angeles, CA 90022-2104
Mailing Address200 E Anaheim StWilmington, CA 90744-4516
Fax(323) 476-0397
Sole ProprietorNo
Enumeration DateOctober 15, 2020
Last NPPES UpdateOctober 28, 20242 updates tracked since enumeration
NPPES CertifiedOctober 28, 2024
NPI 1154929644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · 58480
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5326 E BEVERLY BLVD, Los Angeles, CA 90022

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tatum Rene Little Physician Assistant 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90022 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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.3
Promoting Interoperability100
Improvement Activities40
Cost66.48

Other Providers at the Same Location NPPES 10

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

Student in an Organized Health Care Education/Training Program
5326 E BEVERLY BLVD
LOS ANGELES, CA 90022
Counselor (Addiction (Substance Use Disorder))
5326 E BEVERLY BLVD
LOS ANGELES, CA 90022
Clinic/Center (Community Health)
5326 E BEVERLY BLVD
LOS ANGELES, CA 90022
Social Worker
5326 E BEVERLY BLVD
LOS ANGELES, CA 90022
Counselor (Addiction (Substance Use Disorder))
5326 E BEVERLY BLVD
LOS ANGELES, CA 90022
Clinic/Center (Community Health)
5326 E BEVERLY BLVD
LOS ANGELES, CA 90022
Clinic/Center (Community Health)
5326 E BEVERLY BLVD
LOS ANGELES, CA 90022
Nurse Practitioner
5326 E BEVERLY BLVD
LOS ANGELES, CA 90022

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 Tatum Little's NPI number?

The NPI number for Tatum Little is 1154929644. It was assigned to this individual provider in the NPPES registry on October 15, 2020.

Where is Tatum Little located?

Tatum Little practices at 5326 E Beverly Blvd, Los Angeles, CA 90022. The listed phone number is (866) 590-6411.

What is Tatum Little's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tatum Little enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tatum Little was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.