TATUM KIMBERLY KOUKLADAS NP
NPI 1275245631
Nurse Practitioner - Family in Yorba Linda, CA

Q: What is Tatum Koukladas's NPI number?

The NPI number for Tatum Koukladas is 1275245631. It was assigned to this individual provider in the NPPES registry on December 16, 2022.

Q: What is Tatum Koukladas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Tatum Koukladas was last updated on April 19, 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.

Active since December 16, 2022PECOS Enrolled

4300 ROSE DR, YORBA LINDA, CA 92886(714) 577-6652 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tatum Kimberly Koukladas Np NPPES

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

TATUM KIMBERLY KOUKLADAS NP (NPI 1275245631) is an individual family provider in Yorba Linda, California, licensed in California (95022716) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275245631

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTATUM KIMBERLY KOUKLADASCredential: NP

Location Address4300 ROSE DRYorba Linda, CA 92886-2026

Mailing Address4300 Rose DrYorba Linda, CA 92886-2026 · (714) 577-6652

Phone(714) 577-6652

Sole ProprietorNo

Enumeration DateDecember 16, 2022

Last NPPES UpdateApril 19, 2023

NPPES CertifiedApril 19, 2023

✔ NPI 1275245631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95022716

4300 ROSE DR, Yorba Linda, CA 92886

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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)

Tatum Kimberly Koukladas Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92886 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

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 20

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

MICHAEL CHRISTOPHER VALDEZ MD

Internal Medicine