MISS LAUREN TATUM P.A
NPI 1740601509
Physician Assistant - Medical in Covina, CA

Q: What is Lauren Tatum's NPI number?

The NPI number for Lauren Tatum is 1740601509. It was assigned to this individual provider in the NPPES registry on December 21, 2013.

Q: What is Lauren Tatum's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lauren Tatum was last updated on May 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 21, 2013PECOS EnrolledAccepts Medicare Assignment

420 W ROWLAND ST, COVINA, CA 91723(626) 331-6411(626) 251-1559 Get Directions Write a Review

NPPES record last updated: May 4, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Miss Lauren Tatum P.a NPPES

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

MISS LAUREN TATUM P.A (NPI 1740601509) is an individual medical provider in Covina, California, licensed in California (51263) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1740601509

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMISS LAUREN TATUMCredential: P.A

Location Address420 W ROWLAND STCovina, CA 91723-2943

Mailing Address12942 Baltimore CtChino, CA 91710-5937

Phone(626) 331-6411

Fax(626) 251-1559

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateDecember 21, 2013

Last NPPES UpdateMay 4, 2016

✔ NPI 1740601509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363AM0700X

License✔ Licensed in CA · 51263

420 W ROWLAND ST, Covina, CA 91723

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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 and accepts Medicare assignment

Miss Lauren Tatum P.a 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 ID9931322245

PECOS Enrollment IDI20140513002249

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.

DR. NEMISH S. PATEL M.D.

Internal Medicine