Homayoun Tabandeh, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A89087 Issued in CA

Practice address

1245 Wilshire Blvd
380
Los Angeles, CA 90017-4810

Phone

(213) 483-8810

Fax

(213) 481-1503

NPI assigned

May 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Retina Vitreous Associates Medical GroupGroup PAC ID 5799769584, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pih Health Good Samaritan Hospital Hospital, Los Angeles, CA, CCN 050471

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

94

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

80.15 of 100Reported as group

Quality

76.08

Promoting interoperability

72

Improvement activities

40

Cost

75.13

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Retina-Vitreous Associates Medical Group PC

  • Ophthalmology Physician
  • Los Angeles, CA
  • NPI 1134164023
  Medicare reassignment Care Compare group NPD
• Chino Medical Group, Inc

  • Health Maintenance Organization
  • Chino, CA
  • NPI 1790730786
  NPD (past)
• Dan K Sakamoto M D Medical Corp

  • Ophthalmology Physician
  • Torrance, CA
  • NPI 1225250103
  NPD (past)
• The Oncology Institute Ca, a Professional Corporation

  • Hematology & Oncology Physician
  • Downey, CA
  • NPI 1275651515
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pih Health Good Samaritan Hospital

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1508859323
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486512000000",
    "number": "1003861576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD",
            "address_2": "380",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174810",
            "telephone_number": "213-483-8810",
            "fax_number": "213-481-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD",
            "address_2": "380",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174810",
            "telephone_number": "213-483-8810",
            "fax_number": "213-481-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABANDEH",
        "first_name": "HOMAYOUN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2017-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A89087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "W3452",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A890870",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harold A Tabaie, MD
• Whitney English Tabaie, RDN
• Naomi Tabak, PHD
• Sean Ester Tabak, MSC
• Jon Tabakin, PH.D.
• Bennett Tabaracci, DPT
• Diego Steven Tabares
• Hazel Aimee Tabares
• Jessica Tabares
• Jesus Enrique Tabares, CMT

• Ophthalmology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.