Individual provider Active NPI

Dara Rizgari

  • Non-emergency Medical Transport (VAN)
  • Spring Valley, CA
National Provider Identifier
1104924323
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
MTN01230F Issued in CA
Practice address
512 Felicita Ave
Spring Valley, CA 91977-5909
Phone
(619) 434-2475
Fax
(619) 434-7678
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X MTN01230F CA Primary

Addresses

Primary practice location

512 Felicita Ave
Spring Valley, CA 91977-5909

Mailing address

512 Felicita Ave
Spring Valley, CA 91977-5909
Phone (619) 434-2475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MTN01230FCAMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104924323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 FELICITA AVE",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919775909",
            "telephone_number": "619-434-2475",
            "fax_number": "619-434-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 FELICITA AVE",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919775909",
            "telephone_number": "619-434-2475",
            "fax_number": "619-434-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZGARI",
        "first_name": "DARA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "MTN01230F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.