MRS. JODI LAINE TARUTIS (PA-C) – Medical Physician Assistant, NPI 1124138169

MRS. JODI LAINE TARUTIS (PA-C) is a healthcare provider. based in Menifee, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 18111 (CA). The NPI Number for MRS. JODI LAINE TARUTIS (PA-C) is 1124138169

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JODI LAINE TARUTIS (PA-C)
NPI
1124138169
Phone
(951) 566-5454
Address
29573 GREENBELT CIR
Enumeration Date
30 August 2006
Last Update Date
29 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9098093222
Graduation Year
2005 (21 years ago)
PAC ID
8729187521
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20070619000737
Address ID
CA923742910RE1301XSTXX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

10,570 PHYSICIAN ASSISTANT in CA

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Provider Addresses for MRS. JODI LAINE TARUTIS (PA-C)

  • 29573 GREENBELT CIR

    MENIFEE, CA 925859262

    Phone: (951) 566-5454

    Fax: (951) 566-5454

    Type: Mailing

  • 150, Valpreda Road, San Marcos, San Diego County, California, 92096, United States

    SAN MARCOS, CA 920692973

    Phone: (760) 736-6700

    Fax: (760) 736-6700

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-06-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070619000737IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92585)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Internal Medicine, GastroenterologyCA
Physician AssistantCA
Emergency MedicineNC
O P H T H A L M O L O G YCA
Anesthesiology, Pain ManagementNH
Family Practice, Sports MedicineCA

Reviews

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Frequently asked questions

Can I use this page to confirm MRS. JODI LAINE TARUTIS (PA-C)'s NPI?
Yes. MRS. JODI LAINE TARUTIS (PA-C) is listed with NPI 1124138169 in the public NPI dataset.
Is MRS. JODI LAINE TARUTIS (PA-C) listed as active for patients and plans?
The listing shows MRS. JODI LAINE TARUTIS (PA-C) as active in the NPI system.
What taxonomy line describes MRS. JODI LAINE TARUTIS (PA-C)?
For research purposes, treat MRS. JODI LAINE TARUTIS (PA-C) as Medical Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Does MRS. JODI LAINE TARUTIS (PA-C) list a practice location?
Patients near Menifee, California may find MRS. JODI LAINE TARUTIS (PA-C) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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