LINDA TAI PA-C
NPI 1386095339
Physician Assistant - Surgical in Upland, CA

Q: What is Linda Tai's NPI number?

The NPI number for Linda Tai is 1386095339. It was assigned to this individual provider in the NPPES registry on June 30, 2016.

Q: What is Linda Tai's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Linda Tai was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 June 30, 2016PECOS EnrolledAccepts Medicare Assignment

901 SAN BERNARDINO RD STE 102, UPLAND, CA 91786(909) 579-6721 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 26, 2024, Jul 16, 2019, Jun 30, 2016 (3 updates tracked since 2016).

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About Linda Tai Pa-c NPPES

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

LINDA TAI PA-C (NPI 1386095339) is an individual surgical provider in Upland, California, licensed in California (57036) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1386095339

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameLINDA TAICredential: PA-C

Location Address901 SAN BERNARDINO RD STE 102Upland, CA 91786-4988

Mailing Address901 San Bernardino Rd Ste 102Upland, CA 91786-4988 · (909) 579-6721

Phone(909) 579-6721

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJune 30, 2016

Last NPPES UpdateJune 26, 20243 updates tracked since enumeration

NPPES CertifiedJune 26, 2024

✔ NPI 1386095339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

Licenses✔ Licensed in CA · 57036✔ Licensed in TN · 3820

Also ListedPhysician AssistantTaxonomy 363A00000X · License 2016016697 (MO)

901 SAN BERNARDINO RD STE 102, Upland, CA 91786

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Secondary Practice Locations 2

Location 1946 E Reed StHayti, MO 63851-1243 · Phone (909) 632-8630

Location 2877 Jefferson AveMemphis, TN 38103-2807 · Phone (901) 545-7509

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Linda Tai Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921390659

PECOS Enrollment IDI20200601001610

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 7

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

DR. SHANKHA SUVRA BISWAS MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)