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Cory T Hall, PAC

Physician Assistant in South Lake Tahoe, CA · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093706558

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Registry record

Entity type Individual (Type 1)
Name Cory T Hall
Credential PAC
Sex Male
Practice address 1139 3rd St, South Lake Tahoe, CA, 96150
Fax (530) 541-3016
Enumeration date Nov 3, 2005
Last updated in NPPES Nov 16, 2007

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA15806 (CA) Primary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA678 (NV) Secondary

Other identifiers

Identifier Type State Issuer
CC1490 Other NV BCBS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Cory Hall?
The National Provider Identifier (NPI) for Cory Hall is 1093706558, a Type 1 (individual) record in the CMS NPPES registry.
Where does Cory Hall practice?
The practice location on file with NPPES is in South Lake Tahoe, CA. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-11-16.