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

Tahnee Lilly

Individual provider Physician Assistant · NPI 1730845280

Tahnee Lilly is a Physician Assistant in Ontario, California. Qualified in 2021, 5 years ago. Practices with Southern California Emergency Medicine, a 44-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2021
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Practice location Address checks out

840 S Magnolia Ave Unit 1405
Ontario, CA 91762-4783
Phone: (951) 288-2641
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1730845280
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 9, 2021
Last updated in NPPESNovember 9, 2021
Certification dateNovember 9, 2021
Mailing address840 S Magnolia Ave Unit 1405, Ontario, CA 91762-4783

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Southern California Emergency Medicine — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Ontario