Active NPI
Danielle Marie-Tiger Lara, PA-C
- Physician Assistant
- Gilbert, AZ
National Provider Identifier
1346869211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 3885 S Val Vista Dr
Gilbert, AZ 85297-7313 - Phone
- (480) 331-4316
- Fax
- (480) 571-3613
- NPI assigned
- Apr 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 8245 | AZ | |
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
3885 S Val Vista Dr
Gilbert, AZ 85297-7313
Mailing address
2390 W Ray Rd Ste 1
Chandler, AZ 85224-3570
Phone (480) 331-4316
Other practice location 1
2390 W Ray Rd Ste 1
Chandler, AZ 85224-3570
Phone (480) 331-4316
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urology Physician
- Tucson, AZ
- NPI 1356410666
-
- Urology Physician
- Phoenix, AZ
- NPI 1740426485
-
- Obesity Medicine (Internal Medicine) Physician
- Chandler, AZ
- NPI 1689219057
-
- Endocrinology, Diabetes & Metabolism Physician
- Tucson, AZ
- NPI 1083766828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698624000000",
"number": "1346869211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2390 W RAY RD STE 1",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852243570",
"telephone_number": "480-331-4316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3885 S VAL VISTA DR",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852977313",
"telephone_number": "480-331-4316",
"fax_number": "480-571-3613"
}
],
"practiceLocations": [
{
"address_1": "2390 W Ray Rd Ste 1",
"address_purpose": "LOCATION",
"city": "Chandler",
"state": "AZ",
"postal_code": "852243570",
"country_code": "US",
"telephone_number": "480-331-4316",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LARA",
"first_name": "DANIELLE",
"middle_name": "MARIE-TIGER",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-10",
"last_updated": "2023-10-30",
"certification_date": "2023-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "8245",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.