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

Tara Krishnasastry, PA

Individual provider Physician Assistant · NPI 1639313745

Tara Krishnasastry, PA is a Physician Assistant in Laguna Hills, California. Qualified in 2008, 18 years ago. Practices with Memorialcare Medical Foundation, a 562-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California, Connecticut, New Hampshire and New York.

Years since qualifying
18
Licensed in
CA, CT, NH, NY
In the registry since
2009
Specialties on file
4
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

24411 Health Center Dr Ste 680
Laguna Hills, CA 92653-3692
Phone: (949) 268-4568
Fax: (954) 337-0760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 24 Hospital Ave, Danbury, CT 06810-6077 — (203) 739-7000
  • 259 1st St, Mineola, NY 11501-3957 — (516) 663-0333

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 013169 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 2944 (NH)
Physician Assistant Taxonomy 363A00000X · Licence PA64005 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 5352 (CT)

Record details

NPI number1639313745
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 21, 2009
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Memorialcare Medical Foundation — 562 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Laguna Hills