Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jason C Tani, MD

Individual provider Specialist · NPI 1104813013

Jason C Tani, MD is an Orthopedic Surgery in Pomona, California. Graduated from University of Hawaii John A. Burns School of Medicine in 1990, 36 years ago. Practices with Premier Orthopaedic Trauma Specialists Pmc, a 36-clinician group and accepts Medicare assignment. Licensed in Arizona and California.

Years since qualifying
36
Trained at
University of Hawaii John A. Burns School of Medicine
Licensed in
AZ, CA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

160 E Artesia St Ste 360
Pomona, CA 91767-2927
Phone: (760) 552-8585
Fax: (760) 243-7276
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence G160274 (CA)
Specialist Taxonomy 174400000X · Licence 24700 (AZ)

Record details

NPI number1104813013
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 5, 2005
Last updated in NPPESSeptember 10, 2023
Certification dateSeptember 10, 2023
Mailing address17100b Bear Valley Rd # 283, Victorville, CA 92395-5851

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE
Graduated 1990 (36 years in practice)
Group practice Premier Orthopaedic Trauma Specialists Pmc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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