1. Home
  2. Directory
  3. California
  4. Hemet
  5. Pediatrics
  6. NPI Profile

DR. MARY ANNE TAN LAXA MD
NPI 1184716458
Pediatrics - Neonatal-Perinatal Medicine in Hemet, CA

Active since September 28, 2006PECOS Enrolled
3951 W STETSON AVE STE A, HEMET, CA 92545(951) 765-7002(951) 765-7003 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mary Anne Tan Laxa Md NPPES

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

DR. MARY ANNE TAN LAXA MD (NPI 1184716458) is an individual neonatal-perinatal medicine provider in Hemet, California, licensed in California (A76409) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184716458
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameDR. MARY ANNE TAN LAXACredential: MD
Location Address3951 W STETSON AVE STE AHemet, CA 92545-9683
Mailing Address3951 W Stetson Ave Ste AHemet, CA 92545-9683
Phone(951) 765-7002
Fax(951) 765-7003
Sole ProprietorNo
Enumeration DateSeptember 28, 2006
Last NPPES UpdateOctober 23, 2025
NPPES CertifiedOctober 23, 2025
✔ NPI 1184716458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in CA · A76409
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
3951 W STETSON AVE STE A, Hemet, CA 92545
Open in Google Maps ↗

Other Identifiers 1

Medicaid00A764090CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary Anne Tan Laxa Md 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.

Other Providers at the Same Location NPPES

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

BRIDGET EILEEN JOHNSON
Nurse Practitioner (Family)
3951 W STETSON AVE STE A
HEMET, CA 92545
Riverside County (951) 765-7002

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 Mary Anne Laxa's NPI number?

The NPI number for Mary Anne Laxa is 1184716458. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Mary Anne Laxa located?

Mary Anne Laxa practices at 3951 W Stetson Ave Ste A, Hemet, CA 92545. The listed phone number is (951) 765-7002.

What is Mary Anne Laxa's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Mary Anne Laxa enrolled in Medicare?

Yes. Mary Anne Laxa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Anne Laxa was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.