P Praxis·MD
● Active Type 1 · Individual

Paul Tagashira, PA-C

Physician Assistant·Jbsa Lackland, TX· NPI 1780985457 · Enumerated 2010 · 15 years on NPI
Tagashira is 1 of 4 physician assistant providers in Jbsa Lackland and 1 of 2220 in Texas.
NPI age
15 years
Enumerated 2010-11-10
Primary specialty
Physician Assistant
Plus 3 subspecialties
Licensed in
CA, NV, TX
3 states
Status
Active
No deactivations on record
Last NPPES update
2021-09-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2220 active physician assistant providers in Texas.

NPI age
15 years
≈ at median (15 yr)
State licenses
3 states
Top 93% — 6% of peers are multi-state
Subspecialties
1
In the 20% of peers with subspecialties

NPI lifetime · 2010 → 2026

2010-11Enumerated in NPPES
2010 2026

Where they practice

Practice location
1100 Wilford Hall Loop
Jbsa Lackland, TX 782365638
📞 2102924376
Mailing address
1100 Wilford Hall Loop
Jbsa Lackland, TX 782365638
📞 2102924376fax 2102922052

Additional practice locations

1 secondary location on file with NPPES.

Location 2
390 N Pacific Coast Hwy
El Segundo, CA 902454475
📞 3106409911

Specialties

  • Physician Assistant Primary
    Definition to come...
    CA license #54382TX license #PA13827 taxonomy 363AM0700X
  • Physician Assistant
    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
    NV license #PA1439 taxonomy 363A00000X

Identifiers

TypeValueNotes
05 (NV) 1780985457
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 222 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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