Tara L Wilson, MD
Tara L Wilson is a Surgery Physician provider (Surgery) practicing in Riverside, CA, registered in the NPPES registry with NPI 1720174345 since 2006. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1720174345 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Tara L Wilson |
| Credential | MD |
| Sex | Female |
| Practice address | 3660 PARK SIERRA DR, SUITE 105, Riverside, CA, 92505 |
| Phone | 9512788870 |
| Fax | 9512788913 |
| Enumeration date | 2006-10-04 |
| Last updated in NPPES | 2021-12-22 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208600000X | Surgery Physician | Primary | A80520 | CA |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Copy-ready billing details
Provider: Tara Wilson, MD NPI: 1720174345 Taxonomy: 208600000X (Surgery Physician) Address: 3660 PARK SIERRA DR, SUITE 105, Riverside, CA, 92505
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1528019536 | John Robertson | Individual | Nephrology Physician | Riverside, CA |
| 1366494320 | Adina Tanasescu | Individual | Nephrology Physician | Riverside, CA |
| 1134174493 | Chao-Huang Sun | Individual | Nephrology Physician | Riverside, CA |
| 1962458752 | Taher Khalil | Individual | Nephrology Physician | Riverside, CA |
| 1679512776 | Vanessa Ho | Individual | Family Medicine Physician | Riverside, CA |
| 1477599579 | Joseph Lee | Individual | Nephrology Physician | Riverside, CA |
| 1487685426 | Arthur Galoustian | Individual | Nephrology Physician | Riverside, CA |
| 1427152842 | Salam Ishak | Individual | Nephrology Physician | Riverside, CA |
Verify this record
Cross-check NPI 1720174345 against the authoritative CMS record: view Tara L Wilson on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-12-22.