JASON C TANI (NPI# 1104813013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104813013 |
| Entity Type | Individual |
| Full Name | JASON C TANI |
| Other Name | JASON C TANI |
| Practice Address |
4540 E Baseline Rd #119 Mesa AZ 85206-4617 |
| Practice Telephone | 4806351141 |
| Practice Fax Number | 4806351181 |
| Mailing Telephone | 4806351141 |
| Mailing Fax Number | 4806351181 |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2009-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 24700 | AZ | Other Service Providers |
| Street Address |
4540 E BASELINE RD #119 |
| City | MESA |
| State | AZ |
| Zip Code | 85206-4617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031503 | Jo Merriwether Knatz | Obstetrics & Gynecology | 4540 E Baseline Rd, Ste 115, Mesa, AZ 85206-4617 | 2005-05-31 |
| 1770034787 | Amanda Hines Kwilosz | Physician Assistant | 4540 E Baseline Rd, #113, Mesa, AZ 85206-4613 | 2016-10-14 |
| 1225489511 | Wize Healthcare LLC | Pain Medicine | 4540 E Baseline Rd, 105, Mesa, AZ 85206-4613 | 2016-06-28 |
| 1366854721 | Cbd Healthcare LLC | Chiropractor | 4540 E Baseline Rd, #105, Mesa, AZ 85206-4613 | 2014-05-20 |
| 1619399714 | Cd Healthcare,llc | Physical Medicine & Rehabilitation | 4540 E Baseline Rd, Suite 105, Mesa, AZ 85206-4613 | 2014-01-09 |
| 1740601962 | Calgary Medical LLC | Physical Medicine & Rehabilitation | 4540 E Baseline Rd, Suite 105, Mesa, AZ 85206-4613 | 2013-12-16 |
| 1316388648 | Annette Villalobos Lopez | Nurse Practitioner | 4540 E Baseline Rd, Mesa, AZ 85206-4613 | 2013-07-15 |
| 1912202904 | Craig Brian Defries | Chiropractor | 4540 E Baseline Rd, Suite 105, Mesa, AZ 85206-4613 | 2011-01-21 |
| 1063655223 | The Wellness Way, Inc. | Chiropractor | 4540 E Baseline Rd, Suite 112, Mesa, AZ 85206-4613 | 2009-04-16 |
| 1467692897 | Brian Wortzel | Physician Assistant | 4540 E Baseline Rd, 115, Mesa, AZ 85206-4613 | 2009-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942810833 | Modern Sports Medicine LLC | Specialist | 6242 E Arbor Ave Unit 1, Mesa, AZ 85206-1309 | 2020-08-05 |
| 1366920910 | Haleys Designer Wigs | Specialist | 6017 E Mckellips Rd Ste 109, Mesa, AZ 85215-2824 | 2018-08-04 |
| 1831604990 | Shanna Kay Parker | Specialist | 1055 W Baseline Rd Apt 1049, Mesa, AZ 85210-9504 | 2017-12-11 |
| 1558884866 | Affiliated Pro Monitoring, LLC | Specialist | 6424 E Broadway Rd Ste 120, Mesa, AZ 85206-1750 | 2017-07-18 |
| 1861863011 | Christina Wright | Specialist | 11033 E Abilene Ave, Mesa, AZ 85208-8645 | 2015-10-14 |
| 1821465584 | Arizona Medical Associates Inc | Specialist | 1301 South Rismon Road, Mesa, AZ 85209-3767 | 2015-08-28 |
| 1174926794 | Breast Ink Plc | Specialist | 2321 S Alta Vista Cir, Mesa, AZ 85202-6474 | 2014-09-28 |
| 1780957985 | Clear Choice Physicians, LLC | Specialist | 6328 E Brown Rd Ste 106, Mesa, AZ 85205-4841 | 2012-02-17 |
| 1538445812 | Modocurogyn, Pllc | Specialist | 6632 E. Baseline Rd, Ste 101, Mesa, AZ 85206 | 2011-10-31 |
| 1508140005 | Janice A Spears | Specialist | 1840 W Emelita Ave, #1144, Mesa, AZ 85202-4035 | 2011-10-03 |
| Find all providers in MESA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.