DR. TARA HANJAN (NPI# 1750326427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750326427 |
| Entity Type | Individual |
| Full Name | DR. TARA HANJAN |
| Credential | MD |
| Practice Address |
35800 Bob Hope Dr Suite 150a Rancho Mirage CA 92270-1739 |
| Practice Telephone | 7607701920 |
| Practice Fax Number | 7603240848 |
| Mailing Telephone | 7607701920 |
| Mailing Fax Number | 7603240848 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2017-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
227925-1 | NY | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
227925-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICAID GROUP # | 02186203 | 01 |
| NY | MEDICAID GROUP# | 8691908 | 01 |
| NY | 2572521 | 05 | |
| NY | MEDICARE GROUP# | W34991 | 01 |
| NY | MEDICARE GROUP # | W35021 | 01 |
| Street Address |
35800 BOB HOPE DR SUITE 150A |
| City | RANCHO MIRAGE |
| State | CA |
| Zip Code | 92270-1739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932571551 | Mission Nursing Anesthesia, Inc | Nurse Anesthetist, Certified Registered | 35800 Bob Hope Dr, Suite 100, Rancho Mirage, CA 92270-1739 | 2015-10-22 |
| 1366856585 | Aubrey G Eyer Md, Inc | Anesthesiology | 35800 Bob Hope Dr, Suite 100, Rancho Mirage, CA 92270-1739 | 2014-06-16 |
| 1912338492 | First Choice Physician Partners | Family Medicine | 35800 Bob Hope Dr, # 225, Rancho Mirage, CA 92270-1739 | 2013-12-09 |
| 1154762151 | Ai-chau Hoang | Family Medicine | 35800 Bob Hope Dr, Ste. 225, Rancho Mirage, CA 92270-1739 | 2013-07-08 |
| 1043528003 | Robert J. Lis D.o. Inc. | Anesthesiology | 35800 Bob Hope Dr, Ste 100, Rancho Mirage, CA 92270-1739 | 2010-09-23 |
| 1992021109 | Breastlink Medical Group Inc | Surgery | 35800 Bob Hope Dr, Suite 225, Rancho Mirage, CA 92270-1739 | 2010-04-13 |
| 1376719914 | Radnet | Special Hospital | 35800 Bob Hope Dr, Suite 150a, Rancho Mirage, CA 92270-1739 | 2008-05-04 |
| 1780754713 | Robert James Lis | Anesthesiology | 35800 Bob Hope Dr, 100, Rancho Mirage, CA 92270-1739 | 2006-11-08 |
| 1821015843 | Aubrey Glenn Eyer | Anesthesiology | 35800 Bob Hope Dr, Rancho Mirage, CA 92270-1739 | 2006-07-16 |
| 1891731832 | Christopher J Meoli | Radiology | 35800 Bob Hope Dr, Interventional Radiology and Imaging Center, Suite 150, Rancho Mirage, CA 92270-1739 | 2006-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757824 | Monsetrrat Martinez | Behavioral Analyst | 69930 Ca-111, Ste 118, Rancho Mirage, CA 92270 | 2020-07-09 |
| 1306475785 | Christine Palmares | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-07 |
| 1821627449 | Dino Mellone | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office Ste. 201, Rancho Mirage, CA 92270 | 2020-04-06 |
| 1356970164 | Chris Kim | Student in an Organized Health Care Education/Training Program | Eisenhower Health Emergency Medicine Residency, 39000 Bob Hope Dr., Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-03 |
| 1609434075 | Junko Ohara | Student in an Organized Health Care Education/Training Program | Eisenhower Health Internal Medicine Residency, 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-05-31 |
| 1245791896 | Iman Rasheed | Student in an Organized Health Care Education/Training Program | 3900 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-03-27 |
| 1073086583 | Robert B Greene | Internal Medicine | 8 Moon Lake Drive, Rancho Mirage, CA 92270 | 2019-01-08 |
| 1356818884 | Kade Bartschi | Dentist | 1591 Griffin Rd, 29 Palms, CA 92270 | 2018-11-02 |
| 1841775392 | Rose Pharmacy Rm LLC | Pharmacy | 35400 Bob Hope Drive, Suite #207, Rancho Mirage, CA 92270 | 2018-10-01 |
| 1235615956 | Trang Huyen Nguyen | Dentist | 71-817 Hwy 111 Suite A, Rancho Mirage, CA 92270 | 2018-07-16 |
| Find all providers in zip 92270 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739949 | Ava Vascular | Radiology | 1281 W. C. Street, Suite 200, Colton, CA 92324 | 2020-08-06 |
| 1306467204 | Saleh Radiology of Inland Empire | Radiology | 15276 Ledgestone St, Fontana, CA 92336-4048 | 2020-05-01 |
| 1366084535 | Luo Xu | Radiology | 757 Westwood Plz # 2146, Los Angeles, CA 90095-8358 | 2019-10-09 |
| 1346717824 | Cvs Medical Group, Inc | Radiology | 201 W Garvey Ave Ste 102-502, Monterey Park, CA 91754-7418 | 2018-11-01 |
| 1407353675 | Art Vascular & Interventional Associates Inc | Radiology | 324 S Beverly Dr Ste 345, Beverly Hills, CA 90212-4801 | 2018-04-12 |
| 1568971869 | Broad Reach Specialty Surgery Inc | Radiology | 8117 West Manchester Ave, Ste 368, Playa Del Rey, CA 90293 | 2017-09-29 |
| 1407393754 | Valley Vascular Partners Inc | Radiology | 19231 Victory Blvd Ste 155, Reseda, CA 91335-6329 | 2017-01-25 |
| 1124497342 | Neurointerventional Surgery Consultants, PC | Radiology | 534 S Brea Blvd, Brea, CA 92821-5304 | 2015-09-17 |
| 1578946026 | Clarity Radiology, LLC | Radiology | 39 Via Navarro, Greenbrae, CA 94904-1215 | 2015-07-01 |
| 1669863981 | Pedes Vascular San Fernando Valley | Radiology | 16260 Ventura Boulevard, Suite 210, Encino, CA 91436-2203 | 2015-02-09 |
| Find all providers with the same taxonomy | ||||
| City | RANCHO MIRAGE |
| Zip Code | 92270 |
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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.