TARA L WILSON MD
NPI 1720174345
Surgery in Riverside, CA

Q: What is Tara Wilson's NPI number?

The NPI number for Tara Wilson is 1720174345. It was assigned to this individual provider in the NPPES registry on October 4, 2006. The provider is also known as Tara L Thomas.

Q: What is Tara Wilson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Tara Wilson was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 October 04, 2006PECOS EnrolledAccepts Medicare Assignment

3660 PARK SIERRA DR, SUITE 105, RIVERSIDE, CA 92505(951) 278-8870(951) 278-8913 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Tara L Wilson Md NPPES

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

TARA L WILSON MD (NPI 1720174345) is an individual surgery provider in Riverside, California, licensed in California (A80520) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Human Medicine (1999).

NPPES Registry Identity

NPI1720174345

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameTARA L WILSONCredential: MD

Location Address3660 PARK SIERRA DR, SUITE 105Riverside, CA 92505-3071

Mailing AddressP.o. Box 2828Corona, CA 92878-2828 · (951) 278-8870 · Fax (951) 278-8913

Phone(951) 278-8870

Fax(951) 278-8913

Sole ProprietorNo

Medical School CMSMichigan State University College Of Human MedicineGraduated 1999

Enumeration DateOctober 4, 2006

Last NPPES UpdateDecember 22, 2021

NPPES CertifiedDecember 22, 2021

✔ NPI 1720174345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in CA · A80520

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

3660 PARK SIERRA DR, Riverside, CA 92505

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Other Names 1

Former Name (1)Tara L Thomas

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

Tara L Wilson Md 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 ID7618070970

PECOS Enrollment IDI20070307000520

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 92505 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

Most-billed visit code 99213

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.

NAMG HOME DIALYSIS LLC

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

3660 PARK SIERRA DR, STE 108
RIVERSIDE, CA 92505

Riverside County (951) 687-3900

DR. RIZWAN BADAR M.D.

Internal Medicine (Nephrology)

3660 PARK SIERRA DR, SUITE 208
RIVERSIDE, CA 92505

Riverside County (951) 687-2800

MISSION SURGICAL GROUP

Clinic/Center (Ambulatory Surgical)

3660 PARK SIERRA DR
RIVERSIDE, CA 92505

Riverside County (951) 278-8870

CHAO-HUANG SUN M.D., MPH

Internal Medicine (Nephrology)

3660 PARK SIERRA DR, SUITE 208
RIVERSIDE, CA 92505

Riverside County (951) 687-2800

NAMG HOME DIALYSIS LLC

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

3660 PARK SIERRA DR, STE 103
RIVERSIDE, CA 92505

Riverside County (951) 373-4004

TOM YIH-CHAO LIN MD

Surgery

3660 PARK SIERRA DR, STE 105
RIVERSIDE, CA 92505

Riverside County (951) 278-8870

DR. XIU-JIE WANG M.D.

Surgery (Vascular Surgery)

3660 PARK SIERRA DR, SUITE 105
RIVERSIDE, CA 92505

Riverside County (951) 278-8870

IROQUOIS DIALYSIS LLC

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

3660 PARK SIERRA DR, STE 108
RIVERSIDE, CA 92505

Riverside County (951) 687-3900

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 Tara Wilson's NPI number?

The NPI number for Tara Wilson is 1720174345. It was assigned to this individual provider in the NPPES registry on October 4, 2006. The provider is also known as Tara L Thomas.

Where is Tara Wilson located?

Tara Wilson practices at 3660 Park Sierra Dr Suite 105, Riverside, CA 92505. The listed phone number is (951) 278-8870.

What is Tara Wilson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Tara Wilson enrolled in Medicare?

Yes. Tara Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Tara Wilson was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.