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TAMARA ITO PA-C
NPI 1194688812
Physician Assistant in Vallejo, CA

Active since December 09, 2025PECOS Enrolled
100 HOSPITAL DR STE 110, VALLEJO, CA 94589(707) 551-3300 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 14, 2026, Dec 9, 2025 (2 updates tracked since 2025).

About Tamara Ito Pa-c NPPES

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

TAMARA ITO PA-C (NPI 1194688812) is an individual physician assistant in Vallejo, California and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1194688812
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTAMARA ITOCredential: PA-C
Location Address100 HOSPITAL DR STE 110Vallejo, CA 94589-2577
Mailing Address713 Linwood StVacaville, CA 95688-3524
Phone(707) 551-3300
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 9, 2025
Last NPPES UpdateJanuary 14, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2026
✔ NPI 1194688812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
100 HOSPITAL DR STE 110, Vallejo, CA 94589
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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 (PECOS)

Tamara Ito Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294201588
PECOS Enrollment IDI20260415000690
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 94589 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
$98.85 typical visit price
range $65.02 – $191.95
Typical copayment $24.71 (range $16.25 – $47.98)
Most-billed visit code 99203
Established Patient
$80.24 typical visit price
range $21.86 – $157.69
Typical copayment $20.06 (range $5.46 – $39.42)
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.

Other Providers at the Same Location NPPES 3

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

LICHELLE NUCUM LUM N.P.
Nurse Practitioner (Family)
100 HOSPITAL DR STE 110
VALLEJO, CA 94589
Napa County (707) 551-3300
MARIA CECILIA M. ROXAS-SMITH FNP
Nurse Practitioner (Family)
100 HOSPITAL DR STE 110
VALLEJO, CA 94589
Napa County (707) 592-6745
BRITTANY JORDAN DINGLER
Physician Assistant (Medical)
100 HOSPITAL DR STE 110
VALLEJO, CA 94589
Napa County (707) 551-3300

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 Tamara Ito's NPI number?

The NPI number for Tamara Ito is 1194688812. It was assigned to this individual provider in the NPPES registry on December 9, 2025.

Where is Tamara Ito located?

Tamara Ito practices at 100 Hospital Dr Ste 110, Vallejo, CA 94589. The listed phone number is (707) 551-3300.

What is Tamara Ito's specialty?

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

Is Tamara Ito enrolled in Medicare?

Yes. Tamara Ito is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tamara Ito was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.