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EDWARD TAGGE MD
NPI 1255446100
Surgery - Pediatric Surgery in Loma Linda, CA

Active since August 20, 2006PECOS Enrolled
11370 ANDERSON ST, SUITE 2100, LOMA LINDA, CA 92354(909) 558-2282(909) 558-2125 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Edward Tagge Md NPPES

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

EDWARD TAGGE MD (NPI 1255446100) is an individual pediatric surgery provider in Loma Linda, California, licensed in California (G88002) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255446100
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameEDWARD TAGGECredential: MD
Location Address11370 ANDERSON ST, SUITE 2100Loma Linda, CA 92354-3450
Mailing Address11175 Campus St, Cp-21111Loma Linda, CA 92354 · (909) 558-4619 · Fax (909) 558-7978
Phone(909) 558-2282
Fax(909) 558-2125
Sole ProprietorNo
Enumeration DateAugust 20, 2006
Last NPPES UpdateJanuary 15, 2026
NPPES CertifiedJanuary 15, 2026
✔ NPI 1255446100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
Licenses✔ Licensed in CA · G88002✔ Licensed in SC · 15516
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Also ListedSurgeryTaxonomy 208600000X · License G88002 (CA)
Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License G88002 (CA)
11370 ANDERSON ST, Loma Linda, CA 92354
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Other Identifiers 1

Medicaid155165SC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edward Tagge 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.

Medicare Billing Reassignment

Medicare enrollment records show Edward Tagge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Faculty Physicians And Surgeons Of Llusm
Same address
Obstetrics & Gynecology
11370 ANDERSON STREET, SUITE 3900
Loma Linda, CA 92354
  • Reassigned Medicare billing, California enrollment
  • 2,584 clinicians in this Medicare group
NPI 1235189275 (909) 558-2806

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

JESSICA VILLAFRANCO
Social Worker (Clinical)
11370 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-5978
JOHN Y KIM M.D.
Otolaryngology
11370 ANDERSON ST, SUITE 2100
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2822
EDMUND YUEY KUN KO M.D.
Urology
11370 ANDERSON ST, SUITE 1100
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2830
SNORRI OLAFSSON M.D.
Internal Medicine (Gastroenterology)
11370 ANDERSON ST, STE 3150
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2191
SIGVE K. TONSTAD M.D.
Internal Medicine
11370 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2870
KHASHAYAR DASHTIPOUR M.D.
Psychiatry & Neurology (Neurology)
11370 ANDERSON ST, SUITE 2400
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2880
DOUGLAS DEMING M.D.
Pediatrics (Neonatal-Perinatal Medicine)
11370 ANDERSON ST, STE B-100
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2848
ABEL TORRES M.D.
Dermatology (MOHS-Micrographic Surgery)
11370 ANDERSON ST, STE 2600
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2055

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 Edward Tagge's NPI number?

The NPI number for Edward Tagge is 1255446100. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Edward Tagge located?

Edward Tagge practices at 11370 Anderson St Suite 2100, Loma Linda, CA 92354. The listed phone number is (909) 558-2282.

What is Edward Tagge's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Edward Tagge enrolled in Medicare?

Yes. Edward Tagge is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Edward Tagge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Tagge reassigns Medicare benefits to Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edward Tagge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Edward Tagge was last updated on January 15, 2026. 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.