Sarah A Tanner, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

4979 Issued in AZ

Practice address

5002 W Glendale Ave
Ste 104
Glendale, AZ 85301-2756

Phone

(623) 847-5300

Fax

(623) 847-5304

NPI assigned

Sep 30, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1317340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393545600000",
    "number": "1841574423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1938 E WATSON DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833225",
            "telephone_number": "623-947-5300",
            "fax_number": "623-847-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 W GLENDALE AVE",
            "address_2": "STE 104",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853012756",
            "telephone_number": "623-847-5300",
            "fax_number": "623-847-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "SARAH",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-30",
        "last_updated": "2014-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "4979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymund M Tanaka, DDS
• Christina Tang, M.A., BCBA, LBA
• Linda Tang, DDS
• Ryan Tang
• Tannaz Malekzadeh DMD
• Briah Tarapacki
• Makenna Tarr
• Vanessa Tartaglia-Keane, D.O.
• John Tassone Jr., DPM
• Raven Angelic Tate

• Medical Physician Assistant in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.

Verify at the official NPI Registry.