Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720174345 Individual Practitioner Female Practitioner

Dr. Tara L Wilson , MD

Surgery • Riverside, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Tara Wilson, MD is a certified Surgery practicing in Riverside, CA. With approximately 27 years of clinical experience since graduating from Michigan State University College Of Human Medicine in 1999, Dr. Wilson delivers high-quality medical care to the local community at 3660 PARK SIERRA DR.

Dr. Wilson is affiliated with Southern California Permanente Medical Group and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

3660 Park Sierra Dr
Suite 105

Riverside, CA 925053071

Telephone 9512788870
Fax 9512788913
Associated Practice Facility / Clinic
🏢 Namg Home Dialysis Llc Facility NPI 1013119064

Medicare Profile & Education

Medical School

Michigan State University College Of Human Medicine

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Riverside, CA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
27 Yrs +5.3 yrs vs City Avg
City Avg: 21.7 Yrs
State Avg: 27.4 Yrs
Regional Practice Density
57 Specialists

Practicing in Riverside, CA (3346 Statewide)

Telehealth Adoption Rate
1.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wilson (27 Years) 27 Yrs
Riverside Specialty Average (21.7 Years) 21.7 Yrs

Medical Specialties & State Licenses

CMS Verified: 2021-12-22
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA A80520

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Southern California Permanente Medical Group

10800 Magnolia Ave, Riverside, CA 925053043

Phone: 9513532000

Southern California Permanente Medical Group

27300 Iris Ave, Moreno Valley, CA 925554802

Phone: 9512430811

Southern California Permanente Medical Group

27350 Iris Ave, Moreno Valley, CA 925554802

Phone: 8669847483

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners
NPI 1023200409

Doctor of Medicine (M.D.)

NPI 1114012648

Doctor of Medicine (M.D.)

Dr. Franklin Torres , MD

Surgery - Vascular Surgery

NPI 1114147592

Doctor of Medicine (M.D.)

NPI 1194928002

Doctor of Medicine (M.D.)

NPI 1205845807

Doctor of Medicine (M.D.)

Dr. Xiu-Jie Wang , MD

Surgery - Vascular Surgery

NPI 1215135496

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 21, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location July 21, 2009

Registered at 3660 PARK SIERRA DR, SUITE 105, RIVERSIDE, CA 925053071 (Tel: 9512788870)

📍
Updated Business Mailing Address July 21, 2009

Registered at P.O. BOX 2828, CORONA, CA 928782828 (Tel: 9512788870)

👤
Provider Name / Credentials Updated July 21, 2009

Recorded as TARA WILSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2009

Surgery (License #A80520 in CA)

🟢
Initial NPI Registration & Enumeration October 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720174345
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2006
Last Update: December 22, 2021
Sole Proprietor: No

Mailing Address

P.o. Box 2828

Corona, CA 928782828

Phone: 9512788870

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.