Individual provider Active NPI

Habibollah Karimi-Taleghani, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1083867352
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A068232 Issued in CA
Practice address
5478 Wilshire Blvd
Suite 208
Los Angeles, CA 90036-4229
Phone
(323) 936-7525
Fax
(323) 936-7572
NPI assigned
Oct 29, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A068232 CA Primary

Addresses

Primary practice location

5478 Wilshire Blvd
Suite 208
Los Angeles, CA 90036-4229

Mailing address

PO Box 4603
Diamond Bar, CA 91765-0603
Phone (909) 538-9023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A068232CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Body Rehab Center Past Accepting new patients
Stay Ready Inc PastSince Aug 1, 2012 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225238400000",
    "number": "1083867352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4603",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917650603",
            "telephone_number": "909-538-9023",
            "fax_number": "323-936-7572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5478 WILSHIRE BLVD",
            "address_2": "SUITE 208",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364229",
            "telephone_number": "323-936-7525",
            "fax_number": "323-936-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARIMI-TALEGHANI",
        "first_name": "HABIBOLLAH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-29",
        "last_updated": "2008-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A068232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.