Individual provider Active NPI

Wais Tarrar, MD

  • Family Medicine Physician
  • Sacramento, CA
National Provider Identifier
1801047998
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A117506 Issued in CA
Practice address
391 Howe Ave Ste 150
Sacramento, CA 95825-5513
Phone
(916) 941-9222
Fax
(916) 941-0922
NPI assigned
Oct 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 2730 WI
Family Medicine Physician 207Q00000X A117506 CA Primary

Addresses

Primary practice location

391 Howe Ave Ste 150
Sacramento, CA 95825-5513

Mailing address

391 Howe Ave Ste 150
Sacramento, CA 95825-5513
Phone (916) 678-5280

Other identifiers 1

IdentifierTypeStateIssuer
2730OtherWITEP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120604000080 CA Practitioner - Family Practice 2264619709 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MD Urgent Care IncGroup PAC ID 4789913138, 2 clinicians

Practice addresses (Care Compare)

1140 Exposition Blvd
Suite 700
Sacramento, CA 95815-4334
Phone (916) 333-2542

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. 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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A117506CAMDFamily Medicine Physician
2730WIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
MD Urgent Care Inc CurrentSince Aug 2, 2018 Accepting new patients
Sonora Community Hospital Family Medicine CurrentSince Nov 12, 2011 Accepting new patients
Sonora Community Hospital Family Medicine Current Accepting new patients
Mdstat Urgent Care, Inc PastSince Jun 25, 2017 Accepting new patients
Hill Physicians Medical Group - PPO Program PastSince Jun 25, 2017 Accepting new patients

Locations

1140 Exposition Blvd
Ste 700
Sacramento, CA 95815
Phone (916) 333-2542

193 Fairview Ln
Sonora, CA 95370
Phone (209) 536-5100

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1801047998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 HOWE AVE STE 150",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958255513",
            "telephone_number": "916-678-5280",
            "fax_number": "916-678-5289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 HOWE AVE STE 150",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958255513",
            "telephone_number": "916-941-9222",
            "fax_number": "916-941-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARRAR",
        "first_name": "WAIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-07",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WI",
            "license": "2730",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A117506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEP",
            "identifier": "2730",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.