NPIMap

Organization Active NPI

Meher F Tabatabai MD Inc

  • Infectious Disease Physician
  • Lynwood, CA
National Provider Identifier
1104095942
Registry record updated Jul 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
A38282 Issued in CA
Legal business name
MEHER F TABATABAI MD INC
Practice address
3621 MLK Blvd
6
Lynwood, CA 90262
Phone
(310) 537-1503
Fax
(310) 537-0538
NPI assigned
Feb 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2009

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

Authorized official

Name
Meher F TabatabaiNPI 1740291301
Title
MD
Phone
(310) 537-1503

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
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X A38282 CA Primary

Addresses

Primary practice location

3621 MLK Blvd
6
Lynwood, CA 90262

Mailing address

3621 MLK Blvd
6
Lynwood, CA 90262
Phone (310) 537-1503

Other identifiers 1

IdentifierTypeStateIssuer
00A382820MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080708000190 CA Part B Supplier - Clinic/Group Practice 3173695111 Receives reassigned benefits from 10 practitioners
Practice locations: Lynwood, CA

National Provider Directory

National Provider Directory

Locations

3633 Martin Luther King Jr Blvd
#6
Lynwood, CA 90262
Phone (310) 537-1503

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1104095942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 MLK BLVD",
            "address_2": "6",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "90262",
            "telephone_number": "310-537-1503",
            "fax_number": "310-537-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 MLK BLVD",
            "address_2": "6",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "90262",
            "telephone_number": "310-537-1503",
            "fax_number": "310-537-0538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEHER F TABATABAI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "TABATABAI",
        "authorized_official_first_name": "MEHER",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "310-537-1503"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A38282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A382820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.