Individual provider Active NPI

Patrick Aaron Tarango, PA

  • Medical Physician Assistant
  • Mesquite, TX
National Provider Identifier
1922299569
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA04392 Issued in TX
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

Updated by the provider on Jan 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PA04392TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Epione, PA PastSince Aug 11, 2019 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.

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.

Verify at the official NPI Registry.