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

Tasha R Cockrum, PA-C

Individual provider Physician Assistant · NPI 1689110066

Tasha R Cockrum, PA-C is a Physician Assistant in Fresno, California. Qualified in 2014, 12 years ago. Practices with MD Medical Group, Inc, a 2-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

7585 N Cedar Ave Ste 102
Fresno, CA 93720-2763
Phone: (559) 243-1232
Fax: (559) 243-9954
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 56921 (CA)

Record details

NPI number1689110066
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 10, 2017
Last updated in NPPESOctober 6, 2023
Certification dateOctober 6, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Md Medical Group, Inc. — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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