Active NPI
Thomas Tayeri, M.D.
- Ophthalmology Physician
- Palo Alto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G072133
- 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, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G721330 | Medicaid | CA |
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
Enrollment records 1
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
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 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 103 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72133 | CA | MD | Dental Assistant |
| G072133 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas Tayeri M D Inc | Ophthalmology | Current | 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.
-
- Ophthalmology Physician
- Palo Alto, CA
- NPI 1588609721
-
dba Inpatient Acute/Outpatient Facility Services
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
-
- Multi-Specialty Clinic/Center
- San Jose, CA
- NPI 1164880761
-
dba El Camino Health
- General Acute Care Hospital
- Mountain View, CA
- NPI 1093712374
-
- Children's Hospital
- Palo Alto, CA
- NPI 1467442749
-
dba SHC Reference Laboratory
- Clinical Medical Laboratory
- Palo Alto, CA
- NPI 1174698468
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; 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.