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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: August 02, 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, and ordering and referring status from the CMS PECOS system.

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.

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.

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
MIA NEPOMUCENO-PEREZ M.D.
Pathology (Anatomic Pathology)
11370 ANDERSON ST, STE 2960
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6422

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.

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 6 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.