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

Individual provider Physician Assistant · NPI 1003457565

Tatiana Monique Hurtado, PHYSICIANASSISTANT is a Physician Assistant in Sacramento, California. Qualified in 2019, 7 years ago. Practices with La Laser Center PC a Professional Medical Corporation, a 80-clinician group and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2019
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Practice location Address checks out

2200 Del Paso Blvd
Sacramento, CA 95815-3102
Phone: (916) 924-7988
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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 number1003457565
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedOctober 4, 2019
Last updated in NPPESOctober 4, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice La Laser Center Pc A Professional Medical Corporation — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Sacramento