Tara Janse, PA-C
Physician Assistant in Glendale, AZ. Individual provider (NPI-1).
NPI number1013279348
StatusActive
Last updated in NPPESNov 10, 2025
Details
- NPI
- 1013279348
- Entity type
- Individual (NPI-1)
- Name
- Tara Janse
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 12, 2012
- Certification date
- Nov 10, 2025
- Last updated
- Nov 10, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 7647 | AZ | Yes |
Other names
- Tara Griffin (Former Name)
Practice location
18275 N 59th Ave Ste K162Glendale, AZ 85308-1260
Phone 602-755-0800 · Fax 602-560-2721
Mailing address
Po Box 24981Belfast, ME 04915-2000
Phone 844-969-0686 · Fax 773-832-7083
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 170 Physician Assistant providers in Glendale · All 7,642 providers in Glendale
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