MS. TANYA PAUL (PA-C) – Physician Assistant, NPI 1164564746

MS. TANYA PAUL (PA-C) is a healthcare provider. based in Canyon country, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. CA PA17962 (CA). The NPI Number for MS. TANYA PAUL (PA-C) is 1164564746

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MS. TANYA PAUL (PA-C)
NPI
1164564746
Phone
(661) 313-3416
Address
18040 ANNES CIR 202
Enumeration Date
12 February 2007
Last Update Date
16 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3108367000
Graduation Year
2004 (22 years ago)
PAC ID
2163514076
Group Practice PAC ID
8729416953
Professional Enrollment ID
I20070823000499
Address ID
CA902322713CU3828XTERX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

10,564 PHYSICIAN ASSISTANT in CA

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Provider Addresses for MS. TANYA PAUL (PA-C)

  • 18040 ANNES CIR 202

    CANYON COUNTRY, CA 913876451

    Phone: (661) 313-3416

    Type: Mailing

  • 19360 RINALDI ST # 279

    PORTER RANCH, CA 913261607

    Phone: (747) 263-5263

    Type: Mailing

  • 18646, Oxnard Street, Tarzana, Los Angeles, Los Angeles County, California, 91356, United States

    TARZANA, CA 913561411

    Phone: (818) 996-1051

    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: 2007-08-23

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
I20070823000499IPhysician 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes27279$0
11042Removal of skin and tissue, 20.0 sq cm or less23967$0
15271Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less11821$0
99342Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes7878$0
View full utilization report →

Insurance plans in this area (ZIP 91387)

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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: 8729416953View full group profile
NameSpecialtyState
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Physician AssistantOH
Nurse PractitionerCA
Physician AssistantCA
Physician AssistantCA
Physician AssistantCA
Physical Medicine And RehabilitationNY

Reviews

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Frequently asked questions

Can I cross-check MS. TANYA PAUL (PA-C) using NPI 1164564746?
NPI 1164564746 belongs to MS. TANYA PAUL (PA-C); compare other details if you need extra assurance.
Is MS. TANYA PAUL (PA-C) still an active registrant?
MS. TANYA PAUL (PA-C) carries an active NPI according to the public dataset.
What expertise is attributed to MS. TANYA PAUL (PA-C)?
MS. TANYA PAUL (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MS. TANYA PAUL (PA-C) located near Canyon Country?
MS. TANYA PAUL (PA-C) currently maps to Canyon Country, California in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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