THOMAS TAE I ARNP
NPI 1205308046
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA

Active since December 18, 2018
3530 WILSHIRE BLVD STE 1200, LOS ANGELES, CA 90010(425) 273-8095 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 11, 2023, Aug 22, 2022, Dec 18, 2018 (3 updates tracked since 2018).

About Thomas Tae I Arnp NPPES

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

THOMAS TAE I ARNP (NPI 1205308046) is an individual psychiatric/mental health provider in Los Angeles, California, licensed in California (NP95011784) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1205308046
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameTHOMAS TAE ICredential: ARNP
Location Address3530 WILSHIRE BLVD STE 1200Los Angeles, CA 90010-2343
Mailing Address12640 Double Eagle DrMukilteo, WA 98275-5556 · (425) 273-8095
Sole ProprietorYes
Enumeration DateDecember 18, 2018
Last NPPES UpdateJanuary 11, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2023
NPI 1205308046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in CA · NP95011784
3530 WILSHIRE BLVD STE 1200, Los Angeles, CA 90010

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 Thomas Tae's NPI number?

The NPI number for Thomas Tae is 1205308046. It was assigned to this individual provider in the NPPES registry on December 18, 2018.

Where is Thomas Tae located?

Thomas Tae practices at 3530 Wilshire Blvd Ste 1200, Los Angeles, CA 90010. The listed phone number is (425) 273-8095.

What is Thomas Tae's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Thomas Tae was last updated on January 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.