CALIDA TAM (PA-C) – Medical Physician Assistant, NPI 1346003118
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,223 PHYSICIAN ASSISTANT in NV
Provider Addresses for CALIDA TAM (PA-C)
5915 S RAINBOW BLVD STE 100
LAS VEGAS, NV 891182558
Phone: (702) 666-8808
Fax: (702) 362-9954
Type: Mailing
7280 W Azure Dr Ste 110
Las Vegas, NV 891304401
Phone: (725) 248-2244
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 46 Open Payments records for all available years, with a total value of $1,071.
Total Amount is formed as General ($1,071) + Research ($0) + Ownership ($0) = $1,071.
Last reported payment date: 2024-12-25 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($226).
Total Amount
$1,071
General + Research + Ownership
Payments
46
Total payment records
General Amount
$1,071
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bayer Healthcare Pharmaceuticals Inc. | $226 |
| Novo Nordisk Inc | $213 |
| AstraZeneca Pharmaceuticals LP | $183 |
| Amgen Inc. | $107 |
| Vanda Pharmaceuticals Inc. | $81 |
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: 2024-03-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240312003846 | I | Physician Assistant | NV | TBD |
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.
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 89118)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NV | |
| Nurse Practitioner | NV | |
| Nurse Practitioner | NV | |
| Nurse Practitioner | NV | |
| Internal Medicine | NV | |
| Nurse Practitioner | NV | |
| Family Practice | NV | |
| Internal Medicine | NV | |
| Physician Assistant | NV | |
| Nurse Practitioner | NV |
Reviews
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