Organization Active NPI

Eric Tabas MD Inc

  • Obstetrics & Gynecology Physician
  • San Francisco, CA
National Provider Identifier
1063719722
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G526670 Issued in CA
Legal business name
ERIC TABAS MD INC
Practice address
450 Sutter St Ste 1324
San Francisco, CA 94108-4007
Phone
(415) 397-2331
Fax
(415) 397-4225
NPI assigned
Feb 16, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Eric Tabas, MDNPI 1194744722
Title
President
Phone
(415) 397-2331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G526670 CA Primary

Addresses

Primary practice location

450 Sutter St Ste 1324
San Francisco, CA 94108-4007

Mailing address

450 Sutter St Ste 1324
San Francisco, CA 94108-4007
Phone (415) 397-2331

Other practice location 1

490 Post St
Suite 939
San Francisco, CA 94102-1401
Phone (415) 397-2331

Other identifiers 1

IdentifierTypeStateIssuer
G526670OtherCASTATE OF CALIFORNIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110218000067 CA Part B Supplier - Clinic/Group Practice 5294916623 Receives reassigned benefits from 1 practitioner
Practice locations: San Francisco, CA

National Provider Directory

National Provider Directory

Locations

450 Sutter St
Ste 1324
San Francisco, CA 94108
Phone (415) 397-2331

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1063719722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 SUTTER ST STE 1324",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084007",
            "telephone_number": "415-397-2331",
            "fax_number": "415-397-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SUTTER ST STE 1324",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084007",
            "telephone_number": "415-397-2331",
            "fax_number": "415-397-4225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "490 Post St",
            "address_2": "SUITE 939",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941021401",
            "country_code": "US",
            "telephone_number": "415-397-2331",
            "fax_number": "415-397-4225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ERIC TABAS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TABAS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-397-2331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G526670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CALIFORNIA",
            "identifier": "G526670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.