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

Tara Mae Peterson, PA-C

Individual provider Complex Family Planning Physician · NPI 1104474634

Tara Mae Peterson, PA-C is a Complex Family Planning Physician in Baldwin Park, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

4070 Sterling Way
Baldwin Park, CA 91706-4223
Phone: (626) 798-0706
Show map & directions

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

Specialties & licences

Complex Family Planning Physician (primary) Taxonomy 207VC0300X · Licence 61012 (CA)

Record details

NPI number1104474634
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 28, 2019
Last updated in NPPESJune 23, 2023
Certification dateJune 23, 2023