Adamu Alhaji Tahiru, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA14686 Issued in CA

Practice address

4343 Yaqui Pass Road
Borrego Springs, CA 92004

Phone

(760) 767-5051

Fax

(760) 767-4552

NPI assigned

Feb 4, 2008

Last updated

Feb 4, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202083200000",
    "number": "1558549436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 YAQUI PASS ROAD",
            "city": "BORREGO SPRINGS",
            "state": "CA",
            "postal_code": "92004",
            "telephone_number": "760-767-5051",
            "fax_number": "760-767-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 YAQUI PASS ROAD",
            "city": "BORREGO SPRINGS",
            "state": "CA",
            "postal_code": "92004",
            "telephone_number": "760-767-5051",
            "fax_number": "760-767-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAHIRU",
        "first_name": "ADAMU",
        "middle_name": "ALHAJI",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA14686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA LICENSE NUMBER",
            "identifier": "PA14686",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mercy Air Service, Inc.
• Ann Morton Nourse, P.T.
• Ocotillo Wells Fire Rescue Department
• Unneetha Philomena Pruitt, R.N., N.P.
• Ronald Arthur Scott, PHARMD
• William S. Welte, NMW

• Medical Physician Assistant in Borrego Springs, CA
• Providers in Borrego Springs, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.