Organization Active NPI

Dan B Tarango D P M Inc

  • Podiatrist
  • La Mesa, CA
National Provider Identifier
1689809840
Registry record updated May 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E1308 Issued in CA
Legal business name
DAN B TARANGO D P M INC
Practice address
8875 La Mesa Blvd
Suite a
La Mesa, CA 91941-5100
Phone
(619) 461-2990
Fax
(619) 461-7959
NPI assigned
May 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2009

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

Authorized official

Name
Lydia A Tarango
Title
Office Administrator
Phone
(619) 461-2990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X E1308 CA Primary

Addresses

Primary practice location

8875 La Mesa Blvd
Suite a
La Mesa, CA 91941-5100

Mailing address

8875 La Mesa Blvd
Suite a
La Mesa, CA 91941-5100
Phone (619) 461-2990

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242604800000",
    "number": "1689809840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8875 LA MESA BLVD",
            "address_2": "SUITE A",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919415100",
            "telephone_number": "619-461-2990",
            "fax_number": "619-461-7959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8875 LA MESA BLVD",
            "address_2": "SUITE A",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919415100",
            "telephone_number": "619-461-2990",
            "fax_number": "619-461-7959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAN B TARANGO D P M INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-18",
        "last_updated": "2009-05-18",
        "status": "A",
        "authorized_official_last_name": "TARANGO",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "619-461-2990"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E1308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; 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.