Individual provider Active NPI

Jacob Patrick O'Horo, EMT

  • Basic Emergency Medical Technician
  • Mesa, AZ
National Provider Identifier
1255937371
Registry record updated Dec 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
License
E75828568 Issued in AZ
Practice address
1833 W Main St Ste 131
Mesa, AZ 85201-6925
Phone
(480) 461-1806
NPI assigned
Dec 6, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X E75828568 AZ Primary

Addresses

Primary practice location

1833 W Main St Ste 131
Mesa, AZ 85201-6925

Mailing address

3301 E Ray Rd Apt 2026
Gilbert, AZ 85296-4560
Phone (480) 297-4704

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
Credentials
Emergency Medical Technician

State licenses

LicenseStateTypeSpecialty
E75828568AZMDBasic Emergency Medical Technician

NPI Registry JSON

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

{
    "created_epoch": "1607212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607212800000",
    "number": "1255937371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 E RAY RD APT 2026",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964560",
            "telephone_number": "480-297-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 W MAIN ST STE 131",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852016925",
            "telephone_number": "480-461-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HORO",
        "first_name": "JACOB",
        "middle_name": "PATRICK",
        "credential": "EMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-06",
        "last_updated": "2020-12-06",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "AZ",
            "license": "E75828568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2020; 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.