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NEDA TAHAMI PA
NPI 1396370326
Physician Assistant - Medical in San Juan Capistrano, CA

Active since March 10, 2020PECOS Enrolled
30448 RANCHO VIEJO RD STE 150, SAN JUAN CAPISTRANO, CA 92675(949) 677-7704 Get Directions Write a Review

NPPES record last updated: November 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 1, 2022, May 13, 2022, Mar 10, 2020 (3 updates tracked since 2020).

About Neda Tahami Pa NPPES

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

NEDA TAHAMI PA (NPI 1396370326) is an individual medical provider in San Juan Capistrano, California, licensed in California (59896) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396370326
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameNEDA TAHAMICredential: PA
Location Address30448 RANCHO VIEJO RD STE 150San Juan Capistrano, CA 92675-1572
Mailing Address905 Calle Amanecer Ste 115San Clemente, CA 92673-6226 · (949) 677-7704
Phone(949) 677-7704
Sole ProprietorYes
Enumeration DateMarch 10, 2020
Last NPPES UpdateNovember 1, 20223 updates tracked since enumeration
NPPES CertifiedNovember 1, 2022
✔ NPI 1396370326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · 59896
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
30448 RANCHO VIEJO RD STE 150, San Juan Capistrano, CA 92675
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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)

Neda Tahami Pa 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 4

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

K MITCHELL NAFICY M.D.
Family Medicine
30448 RANCHO VIEJO RD STE 150
SAN JUAN CAPISTRANO, CA 92675
Orange County (949) 489-0773
YESENIA DE MARIA LANDAVERDE-GONZALEZ
Physician Assistant
30448 RANCHO VIEJO RD STE 150
SAN JUAN CAPISTRANO, CA 92675
Orange County (949) 489-0773
CHRISTINE HUONG THU YEP PA-C
Physician Assistant
30448 RANCHO VIEJO RD STE 150
SAN JUAN CAPISTRANO, CA 92675
Orange County (949) 489-0773
LAUREN NICOLE JACKSON
Physician Assistant
30448 RANCHO VIEJO RD STE 150
SAN JUAN CAPISTRANO, CA 92675
Orange County (949) 489-0773

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 Neda Tahami's NPI number?

The NPI number for Neda Tahami is 1396370326. It was assigned to this individual provider in the NPPES registry on March 10, 2020.

Where is Neda Tahami located?

Neda Tahami practices at 30448 Rancho Viejo Rd Ste 150, San Juan Capistrano, CA 92675. The listed phone number is (949) 677-7704.

What is Neda Tahami's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Neda Tahami enrolled in Medicare?

Yes. Neda Tahami is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Neda Tahami was last updated on November 1, 2022. 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.