Mehran Taban M.D. Inc.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A108546 Issued in CA

Legal business name

MEHRAN TABAN M.D. INC.

Practice address

20528 Hawthorne Blvd Ste 201
Torrance, CA 90503-3271

Phone

(424) 247-9090

Fax

(424) 247-9095

NPI assigned

Nov 4, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Mehran Taban, M.D.NPI 1497943914

Title

Physician

Phone

(424) 247-9090

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Macula Retina Vitreous Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: mtaban@mrvcenter.intellechartdirect.net

Practitioners 3

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

• Mehran Taban, M.D.

  • Ophthalmology Physician
  • Torrance, CA
  • NPI 1497943914
  Medicare reassignment Care Compare group NPD Authorized official
• Jordan Alexander Sugarman, MD

  • Ophthalmology Physician
  • Torrance, CA
  • NPI 1326532110
  Medicare reassignment Care Compare group NPD
• Sepideh H Nolan, RN

  • Registered Nurse
  • Torrance, CA
  • NPI 1851099428
  NPD

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1104221035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20528 HAWTHORNE BLVD STE 201",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905033271",
            "telephone_number": "424-247-9090",
            "fax_number": "424-247-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20528 HAWTHORNE BLVD STE 201",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905033271",
            "telephone_number": "424-247-9090",
            "fax_number": "424-247-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEHRAN TABAN M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "TABAN",
        "authorized_official_first_name": "MEHRAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "424-247-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A108546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A108546",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Macula Retina Vitreous Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Macula Retina Vitreous Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valerie K Mehl, NP
• Michael Lawrence Mehmedbasich, M.D.
• Reza Mehr
• Sahar Akbarian Mehr, DDS
• Muneesh Mehra, M.D.
• Charles M. Mehringer, M.D.
• Kushi Mehrotra, MD
• Mehta Ortho MD Inc
• Akshay Mehta, MD
• Ami Mehta, DO

• Ophthalmology Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.