Tara Agena, M.D.
NPI 1629249859 · Pediatrics Physician · San Bernardino, CA
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tara Agena, M.D. is a Pediatrics Physician provider in San Bernardino, CA (NPI 1629249859).
Provider details
- NPI number
- 1629249859
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- A97352 (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
18 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
- 2008-03-15
- Last updated
- 2021-11-29
Frequently asked questions
- What is Tara Agena's NPI number?
- Tara Agena's National Provider Identifier (NPI) is 1629249859, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tara Agena's specialty?
- Tara Agena is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Tara Agena located?
- Tara Agena's practice location on file with NPPES is 565 N Mount Vernon Ave, San Bernardino, CA 92411-2661.
- What is Tara Agena's phone number?
- The practice phone number listed in the NPPES registry for Tara Agena is (909) 884-9091.
- Does Tara Agena accept Medicare?
- Tara Agena is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tara Agena's NPI active?
- Yes — Tara Agena's NPI (1629249859) is active in the NPPES registry as of the last update on 2021-11-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.