Rashel J Tahzib, D.O.

Key facts

NPI

1013103704

Entity type

Individual (NPI type 1)

Primary specialty

Family Medicine Physician 207Q00000X

License

20A9090 (CA)

Practice address

11633 San Vicente Blvd
Ste 107
Los Angeles, CA 90049-6512

Phone

(310) 979-3434

Fax

(310) 979-9992

NPI assigned

Sep 17, 2007

Sex

Female

Sole proprietor

Yes

Organizations & group practices 6

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.

• Anaheim Urgent Care, Inc. Urgent Care Clinic/Center · Anaheim, CA · NPI 1962680033
  Medicare reassignment NPD CA · FAMILY MEDICINE
• Anaheim Urgent Care Urgent Care Clinic/Center · Venice, CA · NPI 1003226044
  NPD
• Anaheim Urgent Care, Inc Urgent Care Clinic/Center · Beverly Hills, CA · NPI 1619682788
  NPD
• Cure4Feet Podiatry Group Inc Foot & Ankle Surgery Podiatrist · North Hollywood, CA · NPI 1104149269
  NPD (past)
• Health-Link Medical Center Rehabilitation Chiropractor · Oceanside, CA · NPI 1013181379
  NPD (past)
• United Medical Care Center Inc. Specialist · San Bernardino, CA · NPI 1467590323
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Osteopathy

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 6, 2016.

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1013103704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11633 SAN VICENTE BLVD",
            "address_2": "STE 107",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496512",
            "telephone_number": "714-624-5969",
            "fax_number": "714-531-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11633 SAN VICENTE BLVD",
            "address_2": "STE 107",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496512",
            "telephone_number": "310-979-3434",
            "fax_number": "310-979-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAHZIB",
        "first_name": "RASHEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-17",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A9090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EN158A",
            "identifier": "EN158A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Los Angeles, CA · Family Medicine Physician in California