Active NPI
Dara Rizgari
- Non-emergency Medical Transport (VAN)
- Spring Valley, CA
National Provider Identifier
1104924323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- MTN01230F
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MTN01230F | CA | MD | Non-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.