Cory T. Hall, PAC
Physician Assistant · South Lake Tahoe, CA
Cory T. Hall, PAC is a physician assistant with a practice address in South Lake Tahoe, California, and NPI 1093706558, issued on Nov 3, 2005. Check the license (California PA15806, as entered in NPPES) with the California board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Cory T. Hall
- Credential
- PAC
- Primary taxonomy
- Physician Assistant 363A00000X
- License numbers
- PA15806 CA
PA678 NV
Self-reported in NPPES; status is on the state search - Practice location
- 1139 3RD St, South Lake Tahoe, CA 96150
- Phone
- (530) 541-3100
- Enumerated
- Nov 3, 2005
- Record last updated
- Nov 16, 2007 (not updated in 19 years: call before relying on the address or phone)
- Fax
- (530) 541-3016
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 14,451 in California → Look up another NPI →
Also registered at 1139 3RD St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- James Pratt, MS, ATC, OTCAthletic Trainer1891943528
Verify Cory T. Hall in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this profession
Search for license PA15806Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Cory T. Hall among 14,451 physician assistant records in California
Cory T. Hall, PAC is one of 14,451 physician assistant records with a practice address in California. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 99% newer
- In a Medicare fileNo · 75% of these records are
- In the CMS Doctors and Clinicians fileNo · 50% of these records are
- Record last updated2007 · 40% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
10 physician assistant records list a practice address in South Lake Tahoe
They are 10 of the 568 NPPES records with a practice address in South Lake Tahoe, and 14,451 physician assistant records in California. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 14,451 in California → Every provider in South Lake Tahoe → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Todd Degiovanni, PA-CSouth Lake Tahoe, CA 961501235129289
- Kyle Erkkila, PA-CSouth Lake Tahoe, CA 961501679716914
- Catherine Gaehwiler, PASouth Lake Tahoe, CA 961501194709824
- Lydia O'Bannon, PA-CSouth Lake Tahoe, CA 961501770911620
- Sara RobisonSouth Lake Tahoe, CA 961501326894320
- Jacquelyn Sartorius, PA-CSouth Lake Tahoe, CA 961501134558000
- Brett Sibley, PA-CSouth Lake Tahoe, CA 961501740589472
- Jessica Starr, PASouth Lake Tahoe, CA 961501205145703
Common questions
What is Cory T. Hall, PAC's NPI number?
Cory T. Hall, PAC's National Provider Identifier (NPI) is 1093706558, issued on Nov 3, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Cory T. Hall, PAC located?
The NPPES record lists a practice address at 1139 3RD St, South Lake Tahoe, CA, 96150. Phone: (530) 541-3100. Providers update this record themselves, so call before visiting.
How can I verify Cory T. Hall, PAC's license?
NPPES lists California license number PA15806, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.