Active NPI
Patrick Aaron Tarango, PA
- Medical Physician Assistant
- Mesquite, TX
National Provider Identifier
1922299569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA04392
- Practice address
- 3230 I-30
Suite 100
Mesquite, TX 75150 - Phone
- (972) 682-1791
- Fax
- (972) 698-7631
- NPI assigned
- Aug 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA04392 | TX | Primary |
Addresses
Primary practice location
3230 I-30
Suite 100
Mesquite, TX 75150
Mailing address
PO Box 851008
Mesquite, TX 75185-1008
Phone (972) 682-1791
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)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA04392 | TX | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epione, PA | Past | Accepting new patients | |
| Open Arms Healthcare of Texas Inc. | Past | Accepting new patients | |
| Pedcare, PA | Past | Accepting new patients |
Organizations & group practices 3
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.
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-
- Pediatrics Physician
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- NPI 1417177841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484697600000",
"number": "1922299569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 851008",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751851008",
"telephone_number": "972-682-1791",
"fax_number": "972-698-7631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3230 I-30",
"address_2": "SUITE 100",
"city": "MESQUITE",
"state": "TX",
"postal_code": "75150",
"telephone_number": "972-682-1791",
"fax_number": "972-698-7631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARANGO",
"first_name": "PATRICK",
"middle_name": "AARON",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-08",
"last_updated": "2017-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA04392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.