Individual provider Active NPI

Thomas Tayeri, M.D.

  • Ophthalmology Physician
  • Palo Alto, CA
National Provider Identifier
1023041662
Registry record updated Aug 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G072133 Issued in CA
Practice address
1805 El Camino Real
Suite 100
Palo Alto, CA 94306-1162
Phone
(650) 324-9200
Fax
(650) 326-5793
NPI assigned
Jul 8, 2006
Last updated
Aug 2, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G072133 CA Primary

Addresses

Primary practice location

1805 El Camino Real
Suite 100
Palo Alto, CA 94306-1162

Mailing address

1805 El Camino Real
Suite 100
Palo Alto, CA 94306-1162
Phone (650) 324-9200

Other identifiers 1

IdentifierTypeStateIssuer
00G721330MedicaidCA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20071205000753 CA Practitioner - Ophthalmology 0941221220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, San Francisco School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thomas Tayeri M D IncGroup PAC ID 3173527421, 5 clinicians

Practice addresses (Care Compare)

1805 El Camino Real
Suite 100
Palo Alto, CA 94306-1163
Phone (650) 324-9200

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
72133CAMDDental Assistant
G072133CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Tayeri M D Inc Ophthalmology CurrentSince Jan 1, 2006 Accepting new patients
County of Santa Clara Past Accepting new patients
El Camino Hospital Past Accepting new patients
El Camino Health Medical Network, LLC Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
Lucile Salter Packard Children's Hospital at Stanford Past Accepting new patients

Locations

14777 Los Gatos Blvd
Ste 201
Los Gatos, CA 95032
Phone (408) 243-2020

1101 Welch Rd
Ste B2
Palo Alto, CA 94304
Phone (415) 321-0958

1805 El Camino Real
Ste 10
Palo Alto, CA 94306
Phone (650) 324-9200

1805 El Camino Real
Ste 100
Palo Alto, CA 94306
Phone (650) 324-9200

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280707200000",
    "number": "1023041662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 EL CAMINO REAL",
            "address_2": "SUITE 100",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061162",
            "telephone_number": "650-324-9200",
            "fax_number": "650-326-5793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 EL CAMINO REAL",
            "address_2": "SUITE 100",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061162",
            "telephone_number": "650-324-9200",
            "fax_number": "650-326-5793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYERI",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2010-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G072133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G721330",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.