What is Tara Micich's NPI number?

Tara Micich's National Provider Identifier (NPI) is 1174480719, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Tara Micich's specialty?

Tara Micich is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).

Where is Tara Micich located?

Tara Micich's practice location on file with NPPES is 2410 S Redondo Blvd, Los Angeles, CA 90016-2135.

What is Tara Micich's phone number?

The practice phone number listed in the NPPES registry for Tara Micich is (862) 763-2079.

Is Tara Micich's NPI active?

Yes — Tara Micich's NPI (1174480719) is active in the NPPES registry as of the last update on 2026-01-06.

IndividualActive

Tara Micich

NPI 1174480719 · Registered Nurse · Los Angeles, CA

Tara Micich is a Registered Nurse provider in Los Angeles, CA (NPI 1174480719).

Provider details

NPI number: 1174480719
Entity type: Individual
Primary specialty: Registered NurseNursing Service Providers
Sex: Female
Sole proprietor: Yes
License: 95419904 (CA)

Specialties & taxonomies

Registered NursePrimary163W00000XLicense 95419904 (CA)
Nursing Service Providers

Profile Score

Established profile(53/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in 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

2410 S Redondo Blvd

Los Angeles, CA 90016-2135

Phone: (862) 763-2079

Street-level locationGet directions

More CA providers

Mailing address