Tara Peterson, PA-C
NPI 1104474634 · Complex Family Planning Physician · Baldwin Park, CA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tara Peterson, PA-C is a Complex Family Planning Physician provider in Baldwin Park, CA (NPI 1104474634).
Provider details
- NPI number
- 1104474634
- Entity type
- Individual
- Primary specialty
- Complex Family Planning PhysicianAllopathic & Osteopathic Physicians
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 61012 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-08-28
- Last updated
- 2023-06-23
- Certified
- 2023-06-23
Frequently asked questions
- What is Tara Peterson's NPI number?
- Tara Peterson's National Provider Identifier (NPI) is 1104474634, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tara Peterson's specialty?
- Tara Peterson is listed in the NPPES registry with a primary specialty of Complex Family Planning Physician (Allopathic & Osteopathic Physicians).
- Where is Tara Peterson located?
- Tara Peterson's practice location on file with NPPES is 4070 Sterling Way, Baldwin Park, CA 91706-4223.
- What is Tara Peterson's phone number?
- The practice phone number listed in the NPPES registry for Tara Peterson is (626) 798-0706.
- Does Tara Peterson accept Medicare?
- Tara Peterson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tara Peterson's NPI active?
- Yes — Tara Peterson's NPI (1104474634) is active in the NPPES registry as of the last update on 2023-06-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.