Active NPI
Allison Tarrasch, PA-C
- Physician Assistant
- Los Angeles, CA
National Provider Identifier
1700172467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA21647
- Practice address
- 4650 W Sunset Blvd
Mailstop #69
Los Angeles, CA 90027-6062 - Phone
- (970) 309-0379
- NPI assigned
- Jun 21, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA21647 | CA | Primary |
Addresses
Primary practice location
4650 W Sunset Blvd
Mailstop #69
Los Angeles, CA 90027-6062
Mailing address
1016 Arroyo Dr
Unit 1
South Pasadena, CA 91030-2927
Phone (970) 309-0379
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA21647 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407196800000",
"number": "1700172467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1016 ARROYO DR",
"address_2": "UNIT 1",
"city": "SOUTH PASADENA",
"state": "CA",
"postal_code": "910302927",
"telephone_number": "970-309-0379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 W SUNSET BLVD",
"address_2": "MAILSTOP #69",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900276062",
"telephone_number": "970-309-0379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARRASCH",
"first_name": "ALLISON",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-21",
"last_updated": "2014-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA21647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.