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

Mrs. Tara Rithaporn Agena, MD

Individual provider Pediatrics Physician · NPI 1629249859

Mrs. Tara Rithaporn Agena, MD is a Pediatrics Physician in San Bernardino, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
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

565 N Mount Vernon Ave
San Bernardino, CA 92411-2661
Phone: (909) 884-9091
Fax: (909) 383-7013
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence A97352 (CA)

Record details

NPI number1629249859
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 15, 2008
Last updated in NPPESNovember 29, 2021

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