Organization Active NPI

Tara Trans

  • Non-emergency Medical Transport (VAN)
  • Scottsdale, AZ
National Provider Identifier
1699023952
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
L17496308 Issued in AZ
Legal business name
TARA TRANS
Practice address
8237 E McDonald Dr
Scottsdale, AZ 85250-6217
Phone
(480) 228-4098
NPI assigned
Aug 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Authorized official

Name
Galaleldin Eissa Omar
Title
Ceo
Phone
(480) 228-4098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X L17496308 AZ Primary

Addresses

Primary practice location

8237 E McDonald Dr
Scottsdale, AZ 85250-6217

Mailing address

8237 E McDonald Dr
Scottsdale, AZ 85250-6217
Phone (480) 228-4098

Other identifiers 2

IdentifierTypeStateIssuer
703516MedicaidAZ
703516OtherAZINDIAN HEALTH SERVICE (IHS)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1699023952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8237 E MCDONALD DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852506217",
            "telephone_number": "480-228-4098",
            "fax_number": "480-323-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8237 E MCDONALD DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852506217",
            "telephone_number": "480-228-4098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA TRANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "OMAR",
        "authorized_official_first_name": "GALALELDIN",
        "authorized_official_middle_name": "EISSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-228-4098"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "AZ",
            "license": "L17496308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "703516",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIAN HEALTH SERVICE (IHS)",
            "identifier": "703516",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.